Individual provider Active NPI

Samuel Nevins Kirse

  • Anesthesiology Physician
  • Kansas City, KS
National Provider Identifier
1730020488
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
94-12732 Issued in KS
Practice address
Kumc 3901 Rainbow Blvd Ms 1034
Kansas City, KS 66160-0001
Phone
(913) 588-3304
Fax
(913) 588-3365
NPI assigned
Apr 4, 2026
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 94-12732 KS Primary

Addresses

Primary practice location

Kumc 3901 Rainbow Blvd Ms 1034
Kansas City, KS 66160-0001

Mailing address

Kumc 3901 Rainbow Blvd Ms 1034
Kansas City, KS 66160-0001
Phone (913) 588-3304

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
I20260617002115 KS Order and Referring Only - AnesthesiologyPractitioner - Anesthesiology 9638641954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1775260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1730020488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KUMC 3901 RAINBOW BLVD MS 1034",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-3304",
            "fax_number": "913-588-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KUMC 3901 RAINBOW BLVD MS 1034",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-3304",
            "fax_number": "913-588-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSE",
        "first_name": "SAMUEL",
        "middle_name": "NEVINS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "94-12732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.