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NICKOLAS ALSUP MD
NPI 1104655380
Otolaryngology in Kansas City, KS

Active since July 29, 2024PECOS Enrolled
3901 RAINBOW BLVD # MS 3010, KANSAS CITY, KS 66160(913) 588-6739 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, Apr 9, 2025, Jul 29, 2024 (3 updates tracked since 2024).

About Nickolas Alsup Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKOLAS ALSUP MD (NPI 1104655380) is an individual otolaryngology provider in Kansas City, Kansas, licensed in Kansas (94-12225) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104655380
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameNICKOLAS ALSUPCredential: MD
Location Address3901 RAINBOW BLVD # MS 3010Kansas City, KS 66160-7101
Mailing Address3901 Rainbow Blvd # Ms 3010Kansas City, KS 66160-8500 · (913) 588-6739
Phone(913) 588-6739
Sole ProprietorNo
Enumeration DateJuly 29, 2024
Last NPPES UpdateJune 6, 20253 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1104655380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in KS · 94-12225
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3901 RAINBOW BLVD # MS 3010, Kansas City, KS 66160
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nickolas Alsup Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAHUL ALAPATI
Otolaryngology
3901 RAINBOW BLVD # MS 3010
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6739
NATHAN FARROKHIAN MD
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD # MS 3010
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6739
LOGAN MCKINNEY MD
Otolaryngology
3901 RAINBOW BLVD # MS 3010
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6739
HANNAH LINNEA KAVOOKJIAN M.D.
Otolaryngology
3901 RAINBOW BLVD # MS 3010
KANSAS CITY, KS 66160
Wyandotte County (913) 574-9135
POMPEYO RAFAEL QUESADA MD
Otolaryngology
3901 RAINBOW BLVD # MS 3010
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6739
SOROUSH ERSHADIFAR
Otolaryngology
3901 RAINBOW BLVD # MS 3010
KANSAS CITY, KS 66160
Wyandotte County (925) 800-9541
JAMIE REID OLIVER
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD # MS 3010
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6739
DR. JUSTIN ROBERT BOND MD
Otolaryngology
3901 RAINBOW BLVD # MS 3010
KANSAS CITY, KS 66160
Wyandotte County (913) 574-0181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nickolas Alsup's NPI number?

The NPI number for Nickolas Alsup is 1104655380. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Nickolas Alsup located?

Nickolas Alsup practices at 3901 Rainbow Blvd # Ms 3010, Kansas City, KS 66160. The listed phone number is (913) 588-6739.

What is Nickolas Alsup's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Nickolas Alsup enrolled in Medicare?

Yes. Nickolas Alsup is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nickolas Alsup was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.