Individual provider Active NPI

Brian John Goentzel

  • Pain Medicine (Anesthesiology) Physician
  • Wichita, KS
National Provider Identifier
1194959692
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
04-39829 Issued in KS
Practice address
2450 N Woodlawn Blvd
Wichita, KS 67220-3902
Phone
(316) 500-1223
Fax
(800) 915-6113
NPI assigned
May 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 04-39829 KS Primary

Addresses

Primary practice location

2450 N Woodlawn Blvd
Wichita, KS 67220-3902

Mailing address

PO Box 8035
Wichita, KS 67208-0035

Other identifiers 1

IdentifierTypeStateIssuer
201155750AMedicaidKS

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
I20170509002891 KS Practitioner - Pain ManagementPractitioner - Anesthesiology 6305086950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Oklahoma College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group Via Christi PAGroup PAC ID 2961314497, 184 clinicians
Heartland Interventional Pain and Spine, LLCGroup PAC ID 3870069487, 3 clinicians

Practice addresses (Care Compare)

1947 N Founders Cir
Via Christi Clinic PA
Wichita, KS 67206-3548
Phone (316) 613-4640

2450 N Woodlawn Blvd
Wichita, KS 67220-3902
Phone (405) 227-7479

3311 E Murdock St
Wichita, KS 67208-3054
Phone (316) 689-9349

612 N Andover Rd
Via Christi Clinic PA
Andover, KS 67002-9778
Phone (316) 733-6618

818 N Carriage Pkwy
Wichita, KS 67208-4500
Phone (316) 689-9153

929 N Saint Francis Ave
Wichita, KS 67214-3821

Hospital & facility affiliations

  • Kansas Surgery & Recovery Center Hospital, Wichita, KS, CCN 170183
  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • Ascension Via Christi Rehabilitation Hospital, Inc Inpatient rehabilitation facility, Wichita, KS, CCN 173028

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-39829KSMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Interventional Pain and Spine, LLC Pain Medicine Current Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Jun 26, 2017 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Jun 26, 2017 Accepting new patients

Locations

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

2450 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 612-4815

1947 N Founders Cir
Wichita, KS 67206
Phone (316) 613-4640

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Surgery and Recovery CenterWichita, KS, CCN 170183 Hospital Limited Partnership Interest (0.4%) Sep 7, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 3

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1194959692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8035",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672080035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N WOODLAWN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203902",
            "telephone_number": "316-500-1223",
            "fax_number": "800-915-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOENTZEL",
        "first_name": "BRIAN",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "04-39829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201155750A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.