NPIMap

Individual provider Active NPI

Ian Malburg, MD

  • Pain Medicine (Anesthesiology) Physician
  • Manhattan, KS
National Provider Identifier
1821384975
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
04-39326 Issued in KS
Practice address
1823 College Ave
Manhattan, KS 66502-3381
Phone
(785) 323-6300
NPI assigned
Jun 27, 2011
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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 R-10248 IA
Pain Medicine (Anesthesiology) Physician 207LP2900X 04-39326 KS Primary

Addresses

Primary practice location

1823 College Ave
Manhattan, KS 66502-3381

Mailing address

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 323-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161012000051 KS Practitioner - Pain ManagementPractitioner - Anesthesiology 3779871512 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Missouri, Kansas City, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wamego Hospital AssociationGroup PAC ID 5395656086, 20 clinicians

Practice addresses (Care Compare)

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-3322

711 Genn Dr
Wamego, KS 66547-1179
Phone (785) 456-6288

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-10248IAMDPain Medicine (Anesthesiology) Physician
04-39326KSMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Pain Management Pain Medicine CurrentSince May 26, 2022 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Current Accepting new patients
Kansas Surgery Center, LLC CurrentSince Sep 1, 2022 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince Sep 22, 2022 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince Sep 22, 2022 Accepting new patients
Wamego Hospital Association Current Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. CurrentSince Oct 10, 2016 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. CurrentSince Oct 10, 2016 Accepting new patients
Wamego Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Wamego Hospital Association Past Accepting new patients
Kansas Pain Management Pain Medicine PastSince May 26, 2022 Accepting new patients

Locations

4100 W 6th St
Lawrence, KS 66049

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

1823 College Ave
Fl 3
Manhattan, KS 66502

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

1301 S Main St
Ste 4
Ottawa, KS 66067

10995 Quivira Rd
Ofc
Overland Park, KS 66210

10995 Quivira Rd
Ste 200
Overland Park, KS 66210

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

711 Genn Dr
Wamego, KS 66547
Phone (785) 456-2295

Interoperability endpoints

  • Direct secure messaging: ian.malburg.1@20807.direct.athenahealth.com
  • Direct secure messaging: ian.malburg.2@20807.direct.athenahealth.com

Organizations & group practices 11

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 4

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1821384975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023381",
            "telephone_number": "785-323-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023381",
            "telephone_number": "785-323-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALBURG",
        "first_name": "IAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IA",
            "license": "R-10248",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "04-39326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.