Mid America Pain Clinic LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

MID AMERICA PAIN CLINIC LLC

Practice address

7100 College Blvd
Overland Park, KS 66210-1862

Phone

(913) 599-2440

Fax

(913) 599-5252

NPI assigned

Dec 22, 2020

Last updated

Mar 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renjini R Chandra, MDNPI 1831181619

Title

Owner

Phone

(913) 599-2440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 10

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.

• Renjini R Chandra, MD

  • Physical Medicine & Rehabilitation Physician
  • Overland Park, KS
  • NPI 1831181619
  Medicare reassignment Care Compare group NPD Authorized official
• Nisa Ngoc Dang Gregson, APRN

  • Family Nurse Practitioner
  • Overland Park, KS
  • NPI 1700308079
  Medicare reassignment Care Compare group NPD
• Dennison Robert Hamilton, MD, MPH

  • Occupational Medicine Physician
  • Overland Park, KS
  • NPI 1225002660
  Medicare reassignment Care Compare group NPD
• Dennis Kerry Katz, D.O.

  • Gynecology Physician
  • Overland Park, KS
  • NPI 1710943857
  Medicare reassignment Care Compare group NPD
• Mehdi Taghizadeh, APRN

  • Adult Health Nurse Practitioner
  • Overland Park, KS
  • NPI 1831437987
  Medicare reassignment Care Compare group NPD
• Theodore J Williams, M.D.

  • Family Medicine Physician
  • Stanley, KS
  • NPI 1114914546
  Medicare reassignment Care Compare group NPD
• Ashutosh B Diwan, MD

  • Family Medicine Physician
  • Warrenton, VA
  • NPI 1144214958

  KS

  Medicare reassignment Care Compare group NPD
• Dorsey G. Paul, P.A.

  • Physician Assistant
  • Overland Park, KS
  • NPI 1750392023
  Medicare reassignment Care Compare group
• Sarah Jayne Landers, MD

  • Anesthesiology Physician
  • Lawrence, KS
  • NPI 1427177336
  NPD
• Tracy Ann Newman, APRN

  • Nurse Practitioner
  • Overland Park, KS
  • NPI 1790293033
  NPD

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1699362822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101862",
            "telephone_number": "913-599-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101862",
            "telephone_number": "913-599-2440",
            "fax_number": "913-599-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "CHANDRA",
        "authorized_official_first_name": "RENJINI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-599-2440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Mitchell Michelson, RPH
• Brian P Mick, COTA
• Mid America Balance Institute Inc
• Mid America Kidney Stone Association
• Mid America Neurospine LLC
• Mid America Pathology Laboratory LLC
• Mid America Sarcoma Institute PA
• Mid-America Orthopedics KC LLC
• Mid-America Polyclinic PA
• Mid-America Retina Consultants PA

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.