Ian Malburg, MD
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Manhattan, KS
NPI 1821384975 · NPPES record last updated Apr 3, 2017
Key facts
- NPI
- 1821384975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 04-39326 (KS)
- Practice address
- 1823 College Ave
Manhattan, KS 66502-3381 - Phone
- (785) 323-6300
- NPI assigned
- Jun 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- University of Missouri, Kansas City, School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Via Christi Hospital Manhattan Inc
Wamego Hospital Association
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
- Ascension Via Christi Hospital Manhattan, Inc
- Wamego Health Center
- Stormont Vail Health Flint Hills, LLC
- Clay County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161012000051 | KS | Practitioner - Pain Management |
3779871512 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-10248 | IA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Via Christi Hospital Manhattan, Inc. | Current |
Accepting new patients | |
| Adventhealth Ransom Memorial, Inc. | Current |
Accepting new patients | |
| Wamego Hospital Association | Current | Accepting new patients | |
| Wamego Hospital Association | Current |
Accepting new patients | |
| Ascension Via Christi Hospital Manhattan, Inc. | Current |
Accepting new patients | |
| Kansas Surgery Center, LLC | Current |
Accepting new patients | |
| Kansas Pain Management | Pain Medicine | Current |
Accepting new patients |
| Ascension Via Christi Hospital Manhattan, Inc. | Current | Accepting new patients | |
| Adventhealth Ransom Memorial, Inc. | Current |
Accepting new patients | |
| Kansas Pain Management | Pain Medicine | Past |
Accepting new patients |
| Ascension Via Christi Hospital Manhattan, Inc. | Past | Accepting new patients | |
| Wamego Hospital Association | Past | Accepting new patients |
Locations
4100 W 6th St
Lawrence, KS 66049
1823 College Ave
Fl 3
Manhattan, KS 66502
1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704
1301 S Main St
Ste 4
Ottawa, KS 66067
1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367
10995 Quivira Rd
Ste 200
Overland Park, KS 66210
10995 Quivira Rd
Ofc
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
- ian.malburg.2@20807.direct.athenahealth.com
- ian.malburg.1@20807.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | R-10248 | IA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 04-39326 | KS | Yes |
Addresses
Primary practice location
1823 College Ave
Manhattan, KS 66502-3381
Mailing address
1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 323-6300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201142140A | Medicaid | KS |
Other providers in Manhattan, KS
- Gilberto Magallanes
- Laura K Magallanes
- Sheri D. Mahan
- Chaz D Mailey
- Megan Major
- Jennifer Kathleen Malcolm
- Mark Anthony Maldonado
- Ashley Malmquist
- Amanda C a Malone
- Kelley Nicole Maneage
All providers in Manhattan, KS · Pain Medicine (Anesthesiology) Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.