Individual provider Active NPI

Douglas Friesen, MD

  • Pain Medicine (Anesthesiology) Physician
  • Wichita, KS
National Provider Identifier
1124096987
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
0420559 Issued in KS
Practice address
10014 W Greenspoint St
Wichita, KS 67205-1581
Phone
(316) 946-5980
Fax
(316) 652-0340
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0420559 KS
Addiction Medicine (Anesthesiology) Physician 207LA0401X 0420559 KS
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 0420559 KS
Pain Medicine (Anesthesiology) Physician 207LP2900X 0420559 KS Primary

Addresses

Primary practice location

10014 W Greenspoint St
Wichita, KS 67205-1581

Mailing address

PO Box 1148
Wichita, KS 67201-1148
Phone (316) 685-3698

Other identifiers 1

IdentifierTypeStateIssuer
102066OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, AZ, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070719000772 KS Practitioner - AnesthesiologyPractitioner - Pain Management 2466359831 Reassigns benefits to 1 organization
I20230621001910 AZ Practitioner - Anesthesiology 2466359831 Reassigns benefits to 2 organizations
I20240113000701 CA Practitioner - Anesthesiology 2466359831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians
Sda Services of CaGroup PAC ID 5496094823, 68 clinicians

Practice addresses (Care Compare)

465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 784-1110

5330 S Hwy 95
Fort Mohave, AZ 86426-9225
Phone (928) 788-2273

Hospital & facility affiliations

  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420559KSMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Anesthesia PLLC Anesthesiology CurrentSince Feb 13, 2025 Accepting new patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Nov 18, 2023 Accepting new patients
Kansas Spine Anesthesia Corporation PA Pain Medicine CurrentSince Dec 1, 2020 Accepting new patients
Sda Services of Ca Anesthesiology CurrentSince Jan 14, 2026 Accepting new patients

Locations

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

1708 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 663-7187

1431 S Bluffview Dr
Ste 215
Wichita, KS 67218
Phone (316) 218-2786

3223 N Webb Rd
Ste 5
Wichita, KS 67226
Phone (316) 462-5000

4013 N Ridge Rd
Ste 100
Wichita, KS 67205
Phone (316) 722-8015

3333 N Webb Rd
Wichita, KS 67226
Phone (316) 462-5000

Organizations & group practices 4

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

Hospital & facility affiliations 1

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124096987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1148",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011148",
            "telephone_number": "316-685-3698",
            "fax_number": "316-652-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 W GREENSPOINT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051581",
            "telephone_number": "316-946-5980",
            "fax_number": "316-652-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "0420559",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "KS",
            "license": "0420559",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "KS",
            "license": "0420559",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "0420559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "102066",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.