NPIMap

Individual provider Active NPI

Pankaj Gugnani, M.D.

  • Family Medicine Physician
  • Fort Scott, KS
National Provider Identifier
1386625903
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-30826 Issued in KS
Practice address
2322 S Main St
Fort Scott, KS 66701-3026
Phone
(888) 777-9170
NPI assigned
Nov 10, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-30826 KS Primary
Family Medicine Physician 207Q00000X 33529 OK
Hospitalist Physician 208M00000X 04-30826 KS

Addresses

Primary practice location

2322 S Main St
Fort Scott, KS 66701-3026

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832

Other practice location 1

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone (620) 768-0388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040828000115 KS Practitioner - Family PracticePractitioner - Hospitalist 4880669381 Reassigns benefits to 2 organizations
I20191202002433 OK Practitioner - Family Practice 4880669381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1011 S Mount Carmel PL
Pittsburg, KS 66762-6604
Phone (620) 670-6710

1017 E Market St
La Cygne, KS 66040-9102
Phone (913) 757-4575

11155 Tucker Rd
Pleasanton, KS 66075-8401
Phone (913) 352-8379

2051 N State St
Iola, KS 66749-1677
Phone (620) 380-6600

2322 S Main St
Fort Scott, KS 66701-3026
Phone (622) 022-3804

3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873

3015 N Michigan St
Pittsburg, KS 66762-2546

302 N 1St St
Mound City, KS 66056-5279
Phone (913) 795-8302

601 E Washington St
Arma, KS 66712-4001
Phone (620) 347-4033

924 N Broadway St
Pittsburg, KS 66762-3910
Phone (620) 231-6788

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33529OKMDFamily Medicine Physician
04-30826KSMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Fort Scott Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Community Health Center of Southeast Kansas, Inc. CurrentSince Aug 29, 2019 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Dec 31, 2018 Accepting new patients
Freeman Fort Scott Hospital Inc Hospitalist CurrentSince Aug 1, 2025 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Dec 31, 2018 Accepting new patients
Community Health Center of Southeast Kansas, Inc Past Accepting new patients
Medicalodges, Inc. Past Accepting new patients

Locations

2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-8040

401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110

7 S 1st St
Wyandotte, OK 74370
Phone (918) 533-9717

Interoperability endpoints

  • Direct secure messaging: pankaj.gugnani@chcsek.eclinicaldirectplus.com

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 12

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1386625903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 S MAIN ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667013026",
            "telephone_number": "888-777-9170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Woodland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Scott",
            "state": "KS",
            "postal_code": "667018797",
            "country_code": "US",
            "telephone_number": "620-768-0388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUGNANI",
        "first_name": "PANKAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-30826",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "33529",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "04-30826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Scott, KS

Sources for this page

Verify at the official NPI Registry.