Individual provider Active NPI

Iman Mattox, RN

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
National Provider Identifier
1417613985
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
558169 Issued in KS
Practice address
8080 E Central Ave Ste 250
Wichita, KS 67206
Phone
(316) 686-7327
Fax
(316) 686-1557
NPI assigned
Nov 9, 2021
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 558169 KS Primary
Registered Nurse 163W00000X 95199822 CA
Certified Registered Nurse Anesthetist 367500000X 227865 OK

Addresses

Primary practice location

8080 E Central Ave Ste 250
Wichita, KS 67206

Mailing address

8080 E Central Ave Ste 250
Wichita, KS 67206-2367
Phone (316) 686-7327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE, CA, IN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240217000686 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486098472 Reassigns benefits to 4 organizations
I20240429001159 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486098472 Reassigns benefits to 1 organization
I20240725000494 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486098472 Reassigns benefits to 1 organization
I20240819004242 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486098472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
US Anesthesia Partners of Kansas PAGroup PAC ID 7719245299, 20 clinicians
Clinical Colleagues KS PAGroup PAC ID 3870921984, 44 clinicians

Practice addresses (Care Compare)

200 Commodore St
Pratt, KS 67124-2903
Phone (620) 450-1335

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2222

600 Medical Ctr Dr
Newton, KS 67114-8780
Phone (850) 985-9180

6001 SW 6TH Ave
100 Tallgrass Ambulatory Center
Topeka, KS 66615-1011
Phone (918) 225-2915

Hospital & facility affiliations

  • St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
  • NMC Health Hospital, Newton, KS, CCN 170103
  • Pratt Regional Medical Center Hospital, Pratt, KS, CCN 170027
  • Neosho Memorial Regional Medical Center Hospital, Chanute, KS, CCN 171380
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95199822CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tip Top Anesthesia Group Inc CurrentSince Jun 4, 2024 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 13, 2024 Accepting new patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2025 Accepting new patients
US Anesthesia Partners of Kansas PA Nurse Anesthetist, Certified Registered CurrentSince Jul 14, 2025 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 29, 2025 Accepting new patients
Bryan Hospital Kearney CurrentSince Mar 24, 2024 Accepting new patients
Bryan Hospital Kearney CurrentSince Mar 24, 2024 Accepting new patients

Locations

1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025

50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

6001 SW 6th Ave
Ste 100
Topeka, KS 66615
Phone (785) 272-8807

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Organizations & group practices 8

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 7

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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417613985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 E CENTRAL AVE STE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062367",
            "telephone_number": "316-686-7327",
            "fax_number": "316-686-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 E CENTRAL AVE STE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-686-7327",
            "fax_number": "316-686-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "IMAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "558169",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95199822",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "227865",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.