KANSAS PAIN MANAGEMENT
NPI 1881347276
Anesthesiology - Pain Medicine in Roeland Park, KS

Active since January 27, 2022CLIA 17D2103254 · Waiver
5675 ROE BLVD STE 210, ROELAND PARK, KS 66205(913) 339-9437(913) 339-9538 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kansas Pain Management NPPES

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

KANSAS PAIN MANAGEMENT (NPI 1881347276) is a healthcare organization registered as a pain medicine in Roeland Park, Kansas and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through August 11, 2026, maintains a secondary practice location in Lawrence, and lists Michelle Kavanaugh, Credentialing Manager, as its authorized official.Information from the official NPPES registry record, last updated January 27, 2022.

NPPES Registry Identity

NPI1881347276
Entity TypeOrganization
Legal Business NameKANSAS PAIN MANAGEMENT
Location Address5675 ROE BLVD STE 210Roeland Park, KS 66205-2515
Mailing Address10995 Quivira RdOverland Park, KS 66210-1207 · (913) 339-9437
Fax(913) 339-9538
Organization SubpartYes
Authorized OfficialMichelle KavanaughCredentialing Manager · (913) 339-9437
Enumeration DateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
NPI 1881347276 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Anesthesiology · Pain Medicine

Taxonomy 207LP2900X · Allopathic & Osteopathic Physicians

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in… Show more

5675 ROE BLVD STE 210, Roeland Park, KS 66205

Also on File with NPPES

Secondary Location1
4100 W 6th St
Lawrence, KS 66049-4609
Phone (913) 339-9437
Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X MULTIPLE SINGLE SPECIALTY GROUP)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D2103254
Facility Type
Physician Office
Certificate Effective Date
August 12, 2024
Certificate Expiration Date
August 11, 2026
Laboratory Director
MAHOUA RAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kansas Pain Management to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881347276, enumerated as an "organization" on January 27, 2022.

The provider is located at 5675 ROE BLVD STE 210 ROELAND PARK, KS 66205 and the phone number is (913) 339-9437.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.