Individual provider Active NPI

Robert William Trout, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Overland Park, KS
National Provider Identifier
1891797031
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0428641 Issued in KS
Practice address
8101 W 135TH St Ste 200
The Headache & Pain Center PA
Overland Park, KS 66223-1111
Phone
(913) 491-3999
Fax
(913) 419-9309
NPI assigned
Jun 1, 2005
Last updated
Aug 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0428641 KS Primary

Addresses

Primary practice location

8101 W 135TH St Ste 200
The Headache & Pain Center PA
Overland Park, KS 66223-1111

Mailing address

7800 College Blvd Ste 200
The Headache & Pain Center PA
Overland Park, KS 66210-1870
Phone (913) 491-3999

Other identifiers 2

IdentifierTypeStateIssuer
0204882401MedicaidMO
100360860BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100901000579 MO Practitioner - Physical Medicine and Rehabilitation 9830003938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0428641KSMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehabilitation Care, LLC Physical Medicine & Rehabilitation CurrentSince Oct 10, 2022 Accepting new patients
Spine Pain and Rehab Associates LLC CurrentSince Nov 1, 2021 Accepting new patients
Rehabilitation Associates of in PC Physical Medicine & Rehabilitation PastSince Jul 1, 2001 Accepting new patients

Locations

801 NW Saint Mary Dr
Ste 210
Blue Springs, MO 64014
Phone (816) 200-1533

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1891797031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 COLLEGE BLVD STE 200",
            "address_2": "THE HEADACHE & PAIN CENTER PA",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101870",
            "telephone_number": "913-491-3999",
            "fax_number": "913-387-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 W 135TH ST STE 200",
            "address_2": "THE HEADACHE & PAIN CENTER PA",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231111",
            "telephone_number": "913-491-3999",
            "fax_number": "913-419-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUT",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "0428641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204882401",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100360860B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.