Individual provider Active NPI

Matthew Donald Kangas, MD

  • Interventional Pain Medicine Physician
  • Germantown, TN
National Provider Identifier
1750674222
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
54762 Issued in TN
Practice address
7960 Wolf River Blvd
Germantown, TN 38138-1725
Phone
(901) 587-4700
NPI assigned
May 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 54762 TN Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 54762 TN

Addresses

Primary practice location

7960 Wolf River Blvd
Germantown, TN 38138-1725

Mailing address

7960 Wolf River Blvd
Germantown, TN 38138-1725
Phone (901) 587-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160927001466 TN Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 1951698414 Reassigns benefits to 1 organization
I20190701000571 MS Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 1951698414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Michigan State University College of Human Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Clinic Associates PLLCGroup PAC ID 4486610664, shared by 2 NPIs, 10 clinicians

Practice addresses (Care Compare)

55 Humphreys Ctr Dr
Suite 200
Memphis, TN 38120-2366
Phone (901) 747-0040

7600 Airways Blvd
Suite a
Southaven, MS 38671-5138
Phone (901) 747-0040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Clinic Associates PLLC Pain Medicine CurrentSince Nov 15, 2021 Accepting new patients
Pain Clinic Associates PLLC Pain Medicine CurrentSince Nov 15, 2021 Accepting new patients
Southaven Surgery Center LLC Interventional Pain Medicine CurrentSince Dec 26, 2024 Accepting new patients
Neurospine Associates PLLC Interventional Pain Medicine CurrentSince Sep 9, 2026 Accepting new patients

Locations

1111B S Governors Ave
Ste 7510
Dover, DE 19904

7600 Airways Blvd
Ste A
Southaven, MS 38671
Phone (662) 349-1000

7600 Airways Blvd
Ste Cd
Southaven, MS 38671

7960 Wolf River Blvd
Germantown, TN 38138

55 Humphreys Center Dr
Ste 200
Memphis, TN 38120

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1750674222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381725",
            "telephone_number": "901-587-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381725",
            "telephone_number": "901-587-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGAS",
        "first_name": "MATTHEW",
        "middle_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "54762",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "54762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.