NPIMap

Individual provider Active NPI

Periapatna Ananth, MD

  • Pain Medicine Physician
  • Sedalia, MO
National Provider Identifier
1922074467
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
04-23070 Issued in KS
Practice address
1430 Thompson Blvd Ste 7
Sedalia, MO 65301-2209
Phone
(660) 827-9528
Fax
(660) 827-7691
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 04-23070 KS Primary

Addresses

Primary practice location

1430 Thompson Blvd Ste 7
Sedalia, MO 65301-2209

Mailing address

PO Box 801128
Kansas City, MO 64180-1128
Phone (660) 827-9528

Other practice location 1

601 E 14th St
Sedalia, MO 65301-5972
Phone (660) 827-9418

Other identifiers 2

IdentifierTypeStateIssuer
500033298MedicaidMO
52156016OtherMOBC-KC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080613000583 MO Practitioner - Pain ManagementPractitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1355316266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bothwell Regional Health Center 109 clinicians

Practice addresses (Care Compare)

1430 Thompson Blvd
Suite 7
Sedalia, MO 65301-2209
Phone (660) 827-9528

Hospital & facility affiliations

  • Bothwell Regional Health Center Hospital, Sedalia, MO, CCN 260009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-23070KSMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bothwell Regional Health Center CurrentSince Jun 1, 2014 Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Oct 1, 2018 Accepting new patients
Bothwell Regional Health Center CurrentSince Jun 1, 2014 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Emporia Pain Management Center, LLC Past Accepting new patients
Surgicenter Anesthesia PA Anesthesiology Past Accepting new patients
Advanced Spine & Orthopaedic Specialists, PA Past Accepting new patients
Heartland Specialty Pain Services, PA Pain Medicine Past Accepting new patients
Johnson County Anesthesiologists, Chartered Anesthesiology PastSince Sep 15, 2019 Accepting new patients
Heartland Specialty Anesthesia Services, PA Anesthesiology Past Accepting new patients

Locations

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1430 Thompson Blvd
Ste 7
Sedalia, MO 65301
Phone (660) 827-9528

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1922074467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801128",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801128",
            "telephone_number": "660-827-9528",
            "fax_number": "660-827-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 THOMPSON BLVD STE 7",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012209",
            "telephone_number": "660-827-9528",
            "fax_number": "660-827-7691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E 14th St",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653015972",
            "country_code": "US",
            "telephone_number": "660-827-9418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANANTH",
        "first_name": "PERIAPATNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "KS",
            "license": "04-23070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500033298",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-KC",
            "identifier": "52156016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.