Individual provider Active NPI

Kavita Manchikanti, MD

  • Interventional Pain Medicine Physician
  • Paducah, KY
National Provider Identifier
1851684203
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
48285 Issued in KY
Practice address
2831 Lone Oak Rd
Paducah, KY 42003-8041
Phone
(270) 554-8373
Fax
(270) 554-8987
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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 48285 KY Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 48285 KY

Addresses

Primary practice location

2831 Lone Oak Rd
Paducah, KY 42003-8041

Mailing address

2831 Lone Oak Rd
Paducah, KY 42003-8041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY2 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
I20160829002768 IL Practitioner - Physical Medicine and RehabilitationPractitioner - Internal Medicine 4183919194 Reassigns benefits to 1 organization
I20160831001526 KY Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 4183919194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Internal Medicine
Education
University of Kentucky College of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

108 Airway Dr
Marion, IL 62959-5841
Phone (270) 554-8373

67 Lakeview Dr
Paducah, KY 42001-5619
Phone 27055483734428

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

State licenses

LicenseStateTypeSpecialty
48285KYMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Centers of America, PSC Interventional Pain Medicine CurrentSince Feb 1, 2019 Accepting new patients

Locations

108 Airway Dr
Marion, IL 62959
Phone (270) 554-8373

2831 Lone Oak Rd
Paducah, KY 42003
Phone (270) 554-8373

67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373

Interoperability endpoints

  • Direct secure messaging: kavitamanchikanti@thepainmd.ssdirect.aprima.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1851684203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038041",
            "telephone_number": "270-554-8373",
            "fax_number": "270-554-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHIKANTI",
        "first_name": "KAVITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "48285",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "KY",
            "license": "48285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.