Individual provider Active NPI

Mahoua Ray, MD

  • Pain Medicine (Anesthesiology) Physician
  • Overland Park, KS
National Provider Identifier
1568603876
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
0437934 Issued in KS
Practice address
10995 Quivira Rd
Overland Park, KS 66210
Phone
(913) 339-9437
Fax
(913) 339-9538
NPI assigned
Mar 16, 2009
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036.12276 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 0437934 KS Primary

Addresses

Primary practice location

10995 Quivira Rd
Overland Park, KS 66210

Mailing address

10995 Quivira Rd
Overland Park, KS 66210-1207
Phone (913) 339-9437

Other practice location 1

8550 Marshall Dr
Suite 150
Lenexa, KS 66214-1505
Phone (913) 339-9437

Other practice location 2

8550 Marshall Dr
Suite 150
Lenexa, KS 66214-1505
Phone (913) 339-9437

Other identifiers 1

IdentifierTypeStateIssuer
201129200AMedicaidKS

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
I20150604000040 KS Practitioner - Pain ManagementPractitioner - Anesthesiology 7719208628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas Pain ManagementGroup PAC ID 0143125575, 8 clinicians

Practice addresses (Care Compare)

5675 Roe Blvd
Suite 210
Roeland Park, KS 66205-2515
Phone (913) 339-9437

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.12276ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Pain Management Pain Medicine CurrentSince Oct 1, 2014 Accepting new patients
Kansas Surgery Center, LLC CurrentSince Dec 1, 2021 Accepting new patients
Kansas Pain Management Pain Medicine CurrentSince Feb 1, 2022 Accepting new patients

Locations

4100 W 6th St
Lawrence, KS 66049

3550 S 4th St
Ste 282
Leavenworth, KS 66048
Phone (913) 318-7821

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

10995 Quivira Rd
Overland Park, KS 66210
Phone (913) 685-2211

10995 Quivira Rd
Ste 200
Overland Park, KS 66210

8550 Marshall Dr
Ste 150
Overland Park, KS 66214

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1568603876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10995 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101207",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10995 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66210",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 Marshall Dr",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662141505",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8550 Marshall Dr",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662141505",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "MAHOUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036.12276",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "0437934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201129200A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.