PEARL OBGYN LLC
NPI 1659949931
Obstetrics & Gynecology in Wichita, KS

Active since June 14, 2021CLIA Certified · 2 labs
3252 E DOUGLAS AVE STE 101, WICHITA, KS 67208(316) 687-3275(316) 469-5222 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2025, Jul 28, 2021, Jun 14, 2021 (3 updates tracked since 2021).

About Pearl Obgyn Llc NPPES

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

PEARL OBGYN LLC (NPI 1659949931) is a healthcare organization registered as an obstetrics & gynecology in Wichita, Kansas and active in the NPI registry since June 2021. The organization holds 2 active CLIA laboratory certificates and lists Damen Hershberger, Owner, as its authorized official.

NPPES Registry Identity

NPI1659949931
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePEARL OBGYN LLC
Location Address3252 E DOUGLAS AVE STE 101Wichita, KS 67208-3354
Mailing Address3252 E Douglas Ave Ste 101Wichita, KS 67208-3354 · (316) 687-3275 · Fax (316) 469-5222
Fax(316) 469-5222
Organization SubpartNo
Authorized OfficialDamen HershbergerOwner · (316) 687-3275
Enumeration DateJune 14, 2021
Last NPPES UpdateMay 27, 20253 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1659949931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3252 E DOUGLAS AVE STE 101, Wichita, KS 67208

Other Identifiers 1

MedicaidPENDINGKS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pearl Obgyn Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pearl Obgyn LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Obstetrics/Gynecology
NPI 1023308939
3252 E DOUGLAS AVE STE 101
Wichita, KS 67208
(316) 687-3275
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1457309429
3233 E 2ND ST N
Wichita, KS 67208
(316) 683-6766
✔ PECOS✔ Accepts Medicare0.2 mi

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 2

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 17D2288467

Pearl Obgyn LLC · Wichita, KS
Active · expires Aug 24, 2027
CLIA Number17D2288467
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorDamen W. Hershberger
Laboratory Phone(316) 687-3275
Laboratory LocationPearl Obgyn LLC3560 N Maize Rd Suite 106A, Wichita, KS 67205
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 17D2227681

Pearl Ob/Gyn, LLC · Wichita, KS
Active · expires Jun 14, 2027
CLIA Number17D2227681
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorDamen W. Hershberger
Laboratory Phone(316) 687-3275
Laboratory LocationPearl Ob/Gyn, LLC3252 E Douglas, Suite 101, Wichita, KS 67208
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pearl Obgyn LLC's NPI number?

The NPI number for Pearl Obgyn LLC is 1659949931. It was assigned to this organization in the NPPES registry on June 14, 2021.

Where is Pearl Obgyn LLC located?

Pearl Obgyn LLC is located at 3252 E Douglas Ave Ste 101, Wichita, KS 67208. The listed phone number is (316) 687-3275.

What is Pearl Obgyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Pearl Obgyn LLC enrolled in Medicare?

Yes. Pearl Obgyn LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pearl Obgyn LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Pearl Obgyn LLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pearl Obgyn LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pearl Obgyn LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Pearl Obgyn LLC 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 Pearl Obgyn LLC was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.