Organization Active NPI

Saint Lukes South Pain Management Center LLC

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
National Provider Identifier
1548844400
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SAINT LUKES SOUTH PAIN MANAGEMENT CENTER LLC
Practice address
7651 W 159TH St
Overland Park, KS 66223-3013
Phone
(913) 323-9060
Fax
(913) 323-9061
NPI assigned
May 7, 2021
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Amy Nachtigal
Title
Vice President
Phone
(816) 932-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

7651 W 159TH St
Overland Park, KS 66223-3013

Mailing address

7651 W 159TH St
Overland Park, KS 66223-3013
Phone (913) 323-9060

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4 Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220215001585 KS Part B Supplier - Ambulatory Surgical Center 1759774797 Practice locations: Overland Park, KS

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Saint Lukes South Pain Management Center LLCCCN 17C0001103
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2249811Saint Luke's South Pain Management Center, LLC7651 W 159TH St, Overland Park, KS 66223Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7651 W 159th St
Overland Park, KS 66223
Phone (816) 222-8395

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1548844400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 W 159TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233013",
            "telephone_number": "913-323-9060",
            "fax_number": "913-323-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 W 159TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233013",
            "telephone_number": "913-323-9060",
            "fax_number": "913-323-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES SOUTH PAIN MANAGEMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "NACHTIGAL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "816-932-2610"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7651 W 159th St",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662233013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.