Kansas Pain Management

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

KANSAS PAIN MANAGEMENT

Practice address

10995 Quivira Rd
Overland Park, KS 66210-1207

Phone

(913) 339-9437

Fax

(913) 339-9538

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Mayank Gupta, MDNPI 1023104445

Title

Owner

Phone

(913) 339-9437

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS, MO3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kansas Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Roeland Park, KS
  • NPI 1881347276
  NPPES parent name

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mayank Gupta, MD (MBBS)

  • Pain Medicine (Anesthesiology) Physician
  • Overland Park, KS
  • NPI 1023104445

  KS, MO, Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Allison J Bell, MD

  • Pain Medicine (Anesthesiology) Physician
  • Overland Park, KS
  • NPI 1770077695

  Anesthesiology, KS, MO

  Medicare reassignment Care Compare group NPD
• Twinkal Pranavkumar Dalal, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Overland Park, KS
  • NPI 1326369315

  Anesthesiology, KS

  Medicare reassignment Care Compare group NPD
• Kristina Grove, APRN

  • Primary Care Nurse Practitioner
  • Overland Park, KS
  • NPI 1558940676

  KS

  Medicare reassignment Care Compare group NPD
• Paula J Harkins, PHD

  • Clinical Psychologist
  • Lenexa, KS
  • NPI 1962665141

  KS

  Medicare reassignment Care Compare group NPD
• Jacob Morgan Kneeman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Overland Park, KS
  • NPI 1659734101

  KS, MO, Pain Medicine

  Medicare reassignment Care Compare group NPD
• Mahoua Ray, MD

  • Pain Medicine (Anesthesiology) Physician
  • Overland Park, KS
  • NPI 1568603876

  KS, Pain Medicine

  Medicare reassignment Care Compare group NPD
• Nicole M Walton, APRN

  • Acute Care Nurse Practitioner
  • Overland Park, KS
  • NPI 1871992057

  KS

  Medicare reassignment Care Compare group
• Ian Malburg, MD

  • Pain Medicine (Anesthesiology) Physician
  • Manhattan, KS
  • NPI 1821384975

  KS, Pain Medicine

  Medicare reassignment NPD
• Mona Martin, APRN

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1376320606

  KS

  Medicare reassignment NPD
• Beverly C Avery, CRNA

  • Certified Registered Nurse Anesthetist
  • Overland Park, KS
  • NPI 1295846756
  NPD (past)
• Josie Z. Bell, CRNA

  • Certified Registered Nurse Anesthetist
  • Kansas City, KS
  • NPI 1518047919
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1104929546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10995 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101207",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10995 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101207",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Biltmore Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660491995",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "373 W 101st Ter",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144498",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485071",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10601 Quivira Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152320",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Marshall St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660483235",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10550 Quivira Rd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152306",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660673598",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KANSAS PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MAYANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-339-9437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100316770A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "503837601",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KANSAS CITY-GROUP #",
            "identifier": "20694016",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Overland Park, KS
• Pain Medicine (Anesthesiology) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.