Individual provider Active NPI

Amanda Lee Colgan, MD

  • Pain Medicine Physician
  • Lawrence, KS
National Provider Identifier
1114047453
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
04-33747 Issued in KS
Practice address
1130 W 4TH St Ste 3202
Lawrence, KS 66044-1346
Phone
(785) 505-3388
Fax
(785) 505-5319
NPI assigned
Mar 30, 2007
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 0433747 KS
Pain Medicine Physician 208VP0000X 04-33747 KS Primary

Addresses

Primary practice location

1130 W 4TH St Ste 3202
Lawrence, KS 66044-1346

Mailing address

325 Maine Street
Mso Library
Lawrence, KS 66044
Phone (785) 505-2988

Other identifiers 1

IdentifierTypeStateIssuer
30004051690002MedicaidKS

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address acolgan2499@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address acolgan2499@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC
Direct Messaging Address amanda.colgan@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090813000456 KS Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 5890849624 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

1130 W 4TH St
3202 Lawrence Pain Specialists
Lawrence, KS 66044-1346
Phone (785) 505-3388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-33747KSMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Feb 26, 2025 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jun 4, 2018 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jun 4, 2018 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
Lawrence Physicians LLC Pain Medicine CurrentSince Feb 26, 2025 Accepting new patients
The Internal Medicine Group PA Past Accepting new patients

Locations

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

1130 W 4th St
Ste 3202
Lawrence, KS 66044
Phone (785) 505-3388

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

823 SW Mulvane St
Topeka, KS 66606

823 SW Mulvane St
Ste 210
Topeka, KS 66606
Phone (785) 235-3451

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: acolgan2499@stormontvaildirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1114047453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE STREET",
            "address_2": "MSO LIBRARY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-505-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W 4TH ST STE 3202",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441346",
            "telephone_number": "785-505-3388",
            "fax_number": "785-505-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGAN",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "0433747",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "KS",
            "license": "04-33747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004051690002",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acolgan2499@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "823 SW Mulvane St",
            "address_2": "Suite 210",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acolgan2499@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "823 SW Mulvane St",
            "address_2": "Suite 210",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.colgan@direct.lmh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1130 W 4th St Ste 3202",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660441346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.