Organization Active NPI

Kansas Pain Specialists PA

  • Interventional Pain Medicine Physician
  • Wichita, KS
National Provider Identifier
1285726323
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
KANSAS PAIN SPECIALISTS PA
Practice address
8080 E Central
Suite 250
Wichita, KS 67206-2361
Phone
(316) 686-1564
Fax
(316) 686-5312
NPI assigned
Sep 28, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
David G Sollo, MD
Title
President
Phone
(316) 686-1564

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 5

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040729001097 KS Part B Supplier - Clinic/Group Practice 9335119957 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Kingman, KS; Wichita, KS

National Provider Directory

National Provider Directory

Locations

1124 W 21st St
#100
Andover, KS 67002
Phone (316) 440-3200

1961 N Founders Cir
Wichita, KS 67206
Phone (316) 274-4931

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X KS Primary

Addresses

NPPES NPI Registry

Primary practice location

8080 E Central
Suite 250
Wichita, KS 67206-2361

Mailing address

8080 E Central
Suite 250
Wichita, KS 67206-2361
Phone (316) 686-1564

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
CJ739OtherKSRR MC
110761OtherKSBCBS
100446540AMedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2019.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1285726323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 E CENTRAL",
            "address_2": "SUITE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062361",
            "telephone_number": "316-686-1564",
            "fax_number": "316-686-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 E CENTRAL",
            "address_2": "SUITE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062361",
            "telephone_number": "316-686-1564",
            "fax_number": "316-686-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS PAIN SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "SOLLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-686-1564",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "CJ739",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110761",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100446540A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.