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PAIN EXPERTS OF ARIZONA PC
NPI 1073293544
Pain Medicine - Interventional Pain Medicine in Mesa, AZ

Active since July 20, 2023CLIA 03D2177390 · Waiver
4566 E INVERNESS AVE STE 202, MESA, AZ 85206(480) 550-9393 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pain Experts Of Arizona Pc NPPES

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

PAIN EXPERTS OF ARIZONA PC (NPI 1073293544) is a healthcare organization registered as an interventional pain medicine in Mesa, Arizona and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through November 22, 2026 and lists Ahdev Kuppusamy, Owner, as its authorized official.

NPPES Registry Identity

NPI1073293544
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePAIN EXPERTS OF ARIZONA PC
Location Address4566 E INVERNESS AVE STE 202Mesa, AZ 85206-4634
Mailing AddressPo Box 29650Phoenix, AZ 85038-9650 · (480) 550-9393
Phone(480) 550-9393
Organization SubpartYes
Authorized OfficialAhdev KuppusamyOwner · (480) 550-9393
Enumeration DateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1073293544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4566 E INVERNESS AVE STE 202, Mesa, AZ 85206
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 03D2177390

Pain Experts Of Arizona, PC · Gilbert, AZ
Active · expires Nov 22, 2026
CLIA Number03D2177390
Laboratory TypePhysician Office
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorAhdev G. Kuppusamy
Laboratory Phone(480) 550-9393
Laboratory LocationPain Experts Of Arizona, PC3370 S Mercy Rd Suite 321, Gilbert, AZ 85297
CLIA data matches this NPI record on: Name 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 Pain Experts Of Arizona PC's NPI number?

The NPI number for Pain Experts Of Arizona PC is 1073293544. It was assigned to this organization in the NPPES registry on July 20, 2023.

Where is Pain Experts Of Arizona PC located?

Pain Experts Of Arizona PC is located at 4566 E Inverness Ave Ste 202, Mesa, AZ 85206. The listed phone number is (480) 550-9393.

What is Pain Experts Of Arizona PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Pain Experts Of Arizona PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2177390) is associated with this NPI, valid through November 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pain Experts Of Arizona PC was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.