Individual provider Active NPI

Ian J Kucera, MD

  • Pain Medicine Physician
  • Topeka, KS
National Provider Identifier
1386637635
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
04-30570 Issued in KS
Practice address
823 SW Mulvane St
Topeka, KS 66606-1764
Phone
(785) 270-0070
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 04-30570 KS
Pain Medicine Physician 208VP0000X 04-30570 KS Primary
Specialist 174400000X 04-30570 KS
Anesthesiology Physician 207L00000X 04-30570 KS

Addresses

Primary practice location

823 SW Mulvane St
Topeka, KS 66606-1764

Mailing address

823 SW Mulvane St
Topeka, KS 66606-1764
Phone (785) 270-0070

Other practice location 1

823 SW Mulvane St Ste 210
Topeka, KS 66606-1679
Phone (785) 235-3451

Other practice location 2

1102 Saint Marys Rd
Junction City, KS 66441-4139
Phone (785) 238-0325

Other identifiers 2

IdentifierTypeStateIssuer
200260450AMedicaidKS
P00154209OtherKSPALMETTO GBA RR MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ikucera3927@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address ikucera3927@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

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
I20040810001456 KS Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 7911979844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Texas Tech University Health Science Center School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cotton-O'Neil Clinic Revocable TrustGroup PAC ID 5496659195, 659 clinicians
Anesthesia Associates of Topeka PAGroup PAC ID 5698675437, 54 clinicians

Practice addresses (Care Compare)

1500 SW 10H Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

2902 SW Asbury Dr
Topeka, KS 66614-4466
Phone (785) 354-9591

4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 354-9591

823 SW Mulvane St
Suite 210
Topeka, KS 66606-1679
Phone (785) 235-3451

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

Hospital & facility affiliations

  • Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086
  • University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016
  • Stormont Vail Health Flint Hills, LLC Hospital, Junction City, KS, CCN 170074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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
Stormont Vail Health Flint Hills LLC CurrentSince Dec 25, 2023 Accepting new patients
Stormont Vail Health Flint Hills LLC CurrentSince Dec 25, 2023 Accepting new patients

Locations

1110 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-4131

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

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

901 SW Garfield Ave
Topeka, KS 66606

823 SW Mulvane St
Topeka, KS 66606

823 SW Mulvane St
Fl 1
Topeka, KS 66606
Phone (785) 270-0070

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

Organizations & group practices 5

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1386637635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061764",
            "telephone_number": "785-270-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061764",
            "telephone_number": "785-270-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 SW Mulvane St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061679",
            "country_code": "US",
            "telephone_number": "785-235-3451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664414139",
            "country_code": "US",
            "telephone_number": "785-238-0325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "IAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "04-30570",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "KS",
            "license": "04-30570",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-30570",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "04-30570",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200260450A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA  RR MEDICARE",
            "identifier": "P00154209",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ikucera3927@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": "666061679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ikucera3927@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": "666061679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.