KANSAS PAIN MANAGEMENT
NPI 1104929546
Anesthesiology - Pain Medicine in Overland Park, KS
About Kansas Pain Management NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANSAS PAIN MANAGEMENT (NPI 1104929546) is a healthcare organization registered as a pain medicine in Overland Park, Kansas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 11, 2028, maintains 7 additional practice locations, and lists Mayank Gupta, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 7
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kansas Pain Management is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Kansas Pain Management, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 17D2103254
Kansas Pain Management · Overland Park, KSFrequently 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 Kansas Pain Management's NPI number?
The NPI number for Kansas Pain Management is 1104929546. It was assigned to this organization in the NPPES registry on September 7, 2006.
Where is Kansas Pain Management located?
Kansas Pain Management is located at 10995 Quivira Rd, Overland Park, KS 66210. The listed phone number is (913) 339-9437.
What is Kansas Pain Management's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Kansas Pain Management enrolled in Medicare?
Yes. Kansas Pain Management is registered in the Medicare PECOS enrollment system.
When is Kansas Pain Management's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Kansas, Physician - Anesthesiology) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kansas Pain Management?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Kansas Pain Management. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pain Management (5), Nurse Practitioner (3) and Anesthesiology (1). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kansas Pain Management hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D2103254) is associated with this NPI, valid through August 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Kansas Pain Management accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 1 other insurer list Kansas Pain Management as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kansas Pain Management was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Kansas Pain Management · NPI 1104929546
Pain Medicine organization in Overland Park, Kansas. Organization record, active in the CMS NPPES registry since September 7, 2006.
## Identity
- **NPI:** 1104929546 (Entity type: Organization)
- **Enumerated:** September 7, 2006
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Organization subpart:** No
- **Authorized official:** Mayank Gupta, OWNER
## Practice location
- **Address:** 10995 QUIVIRA RD, Overland Park, KS 66210-1207
- **Phone:** (913) 339-9437 · **Fax:** (913) 339-9538
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, Kansas, Physician - Anesthesiology) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pain Management (5), Nurse Practitioner (3), Anesthesiology (1); 7 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2022
- **Other identifiers:** Other 20694016 (KS); Medicaid 100316770A (KS); Medicaid 503837601 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104929546) · Data from the CMS NPPES public registry.