KPS AMBULATORY SURGERY CENTER
NPI 1083124366
Clinic/Center - Ambulatory Surgical in Louisville, KY

Q: What is Kentuckiana Pain Specialist Ambulatory Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since October 02, 2017CLIA Certified · 2 labs

3710 CHAMBERLAIN LN STE B, LOUISVILLE, KY 40241(502) 995-4004(502) 933-5559 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2021, May 12, 2021, Sep 10, 2019 and 2 more (5 updates tracked since 2017).

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About Kps Ambulatory Surgery Center NPPES

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

KPS AMBULATORY SURGERY CENTER (NPI 1083124366) is a healthcare organization registered as an ambulatory surgical in Louisville, Kentucky and active in the NPI registry since October 2017. The organization holds 2 active CLIA laboratory certificates and lists Ajith Nair, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1083124366

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameKENTUCKIANA PAIN SPECIALIST AMBULATORY SURGERY CENTER

Location Address3710 CHAMBERLAIN LN STE BLouisville, KY 40241-2002

Mailing AddressPo Box 24321Louisville, KY 40224-0321 · (502) 995-4004 · Fax (502) 933-5559

Phone(502) 995-4004

Fax(502) 933-5559

Organization SubpartNo

Authorized OfficialAjith NairMedical Director · (502) 995-4004

Enumeration DateOctober 2, 2017

Last NPPES UpdateOctober 21, 20215 updates tracked since enumeration

NPPES CertifiedOctober 21, 2021

✔ NPI 1083124366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

Also ListedSpecialistTaxonomy 174400000X · License KY36217 (KY)

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

3710 CHAMBERLAIN LN STE B, Louisville, KY 40241

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Other Names 1

Doing Business AsKps Ambulatory Surgery Center

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 18D2149027

Kentuckiana Pain Specialist Ambulatory Surgery Center · Louisville, KY

Active · expires May 22, 2028

CLIA Number18D2149027

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 23, 2026

Certificate Expiration DateMay 22, 2028

Laboratory DirectorDr. Nair Ajith

Laboratory Phone(502) 995-4004

Laboratory LocationKentuckiana Pain Specialist Ambulatory Surgery Center3710 Chamberlain Lane, Ste B, Louisville, KY 40241

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 18D1106122

Kentuckiana Pain Specialists · Louisville, KY

Active · expires Feb 14, 2027

CLIA Number18D1106122

Laboratory TypePhysician Office

Certificate Effective DateFebruary 15, 2025

Certificate Expiration DateFebruary 14, 2027

Laboratory DirectorDr. Brad Hall

Laboratory Phone(502) 995-4004

Laboratory LocationKentuckiana Pain Specialists3710 Chamberlain Lane, Suite A, Louisville, KY 40241

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

45 services23 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

25 services11 patients

Insertion, revision, or repositioning of spinal canal tube for medication administration 62350

This procedure involves placing, adjusting, or repositioning a tube in your spinal canal. This tube allows for direct administration of medication to the spine. It's typically done under local anesthesia and helps in managing conditions like chronic pain.

11 services11 patients

Insertion of programmable spinal canal drug infusion pump 62362

The insertion of a programmable spinal canal drug infusion pump is a procedure that involves placing a small pump under your skin. This pump delivers medication directly into your spinal canal to help manage chronic pain or muscle spasticity. It's often adjustable for personalized treatment.

11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Kentuckiana Pain Specialists Psc carries, from the Medicare DMEPOS supplier directory.

Kentuckiana Pain Specialists Psc

DMEPOS supplier · Louisville, KY

✔

Accepts Medicare assignment

Kentuckiana Pain Specialists Psc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20405705

Medicare Participant SinceJune 1, 2021

Supplier Location3710 Chamberlain LnLouisville, KY 40241

Phone(502) 995-4004

Provider TypeInterventional Pain Management - Physician

Supplier Specialties

Hospital Pharmacy

Medicare Product Categories

External Infusion Pumps and/or Supplies

An infusion pump is necessary to safely administer the drug

Implanted Infusion Pumps and/or Supplies

Implantable infusion pumps, catheters, refill kits

Surgical Dressings

Gauze, Elastic bandages, Adhesive tape

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Kentuckiana Pain Specialist Ambulatory Surgery Center's NPI number?

The NPI number for Kentuckiana Pain Specialist Ambulatory Surgery Center is 1083124366. It was assigned to this organization in the NPPES registry on October 2, 2017. The provider is doing business as Kps Ambulatory Surgery Center.

Where is Kentuckiana Pain Specialist Ambulatory Surgery Center located?

Kentuckiana Pain Specialist Ambulatory Surgery Center is located at 3710 Chamberlain Ln Ste B, Louisville, KY 40241. The listed phone number is (502) 995-4004.

What is Kentuckiana Pain Specialist Ambulatory Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Kentuckiana Pain Specialist Ambulatory Surgery Center accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kentuckiana Pain Specialists Psc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kentuckiana Pain Specialist Ambulatory Surgery Center 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 Kentuckiana Pain Specialist Ambulatory Surgery Center accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Kentuckiana Pain Specialist Ambulatory Surgery Center 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 Kentuckiana Pain Specialist Ambulatory Surgery Center was last updated on October 21, 2021. 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.