Active NPI
Iman Mattox, RN
- Certified Registered Nurse Anesthetist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 558169
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- NMC Health
- Pratt Regional Medical Center
- Neosho Memorial Regional Medical Center
- Hillcrest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95199822 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tip Top Anesthesia Group Inc | Current | Accepting new patients | |
| Iceland Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues KS PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Kansas PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bryan Hospital Kearney | Current | Accepting new patients | |
| Bryan Hospital Kearney | Current | 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.
-
- Anesthesiology Physician
- Chanute, KS
- NPI 1548813967
KS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
KS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1811415599
KS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1912578667
IN, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Kearney, NE
- NPI 1407513484
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medical Specialty Clinic/Center
- Chanute, KS
- NPI 1023251469
Hospital
-
- Critical Access Hospital
- Chanute, KS
- NPI 1073566949
Hospital
-
- Orthopaedic Surgery Physician
- Chanute, KS
- NPI 1619261211
Hospital
-
- Rural Acute Care Hospital
- Pratt, KS
- NPI 1578596904
Hospital
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.