Kimber L Eubanks, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

0422629 Issued in KS

Practice address

10501 Metcalf Ave
Overland Park, KS 66212-1815

Phone

(913) 901-8880

Fax

(913) 901-8898

NPI assigned

Dec 6, 2005

Last updated

Jun 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paincare PA

  • Pain Medicine Physician
  • Overland Park, KS
  • NPI 1811933716
  Medicare reassignment NPD Authorized official
• Midwest Anesthesia Associates, PA

  • Anesthesiology Physician
  • Shawnee Mission, KS
  • NPI 1336192392
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1053395673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26141",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641966141",
            "telephone_number": "913-901-8880",
            "fax_number": "913-901-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121815",
            "telephone_number": "913-901-8880",
            "fax_number": "913-901-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "KIMBER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "0422629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "720000134",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret A Estrin, M.D.
• Mahshid Etemad
• Sukumar Ethirajan, M.D.
• Treva Etsitty, AUTISM SPECIALIST
• Abby Taylor Eubank, M.S. CFY-SLP
• Aaron Eustaquio
• Mirjah Euwema
• Robert Evangelidis, MD
• Kylee Gayle Evans, MD
• Mandee Evans

• Pain Medicine (Anesthesiology) Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pain Medicine (Anesthesiology) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.