THE CENTER FOR PAIN AND SUPPORTIVE CARE P L L C
NPI 1104009265
Pain Medicine - Pain Medicine in Phoenix, AZ
About The Center For Pain And Supportive Care P L L C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE CENTER FOR PAIN AND SUPPORTIVE CARE P L L C (NPI 1104009265) is a healthcare organization registered as a pain medicine in Phoenix, Arizona and active in the NPI registry since December 2007. The organization maintains a secondary practice location in Peoria and lists Gobi Paramanandam, Member Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
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)
The Center For Pain And Supportive Care P L L C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to The Center For Pain And Supportive Care P L L C, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 The Center For Pain And Supportive Care P L L C's NPI number?
The NPI number for The Center For Pain And Supportive Care P L L C is 1104009265. It was assigned to this organization in the NPPES registry on December 12, 2007.
Where is The Center For Pain And Supportive Care P L L C located?
The Center For Pain And Supportive Care P L L C is located at 4611 E. Shea Blvd. Bldg. 3 Suite 190, Phoenix, AZ 85028. The listed phone number is (480) 889-0180.
What is The Center For Pain And Supportive Care P L L C's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is The Center For Pain And Supportive Care P L L C enrolled in Medicare?
Yes. The Center For Pain And Supportive Care P L L C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Center For Pain And Supportive Care P L L C?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to The Center For Pain And Supportive Care P L L C, in Hospice/Palliative Care, Nurse Practitioner, Pain Management and Physical Medicine and Rehabilitation. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does The Center For Pain And Supportive Care P L L C accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list The Center For Pain And Supportive Care P L L C 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 The Center For Pain And Supportive Care P L L C was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# The Center For Pain And Supportive Care P L L C · NPI 1104009265
Pain Medicine organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since December 12, 2007.
## Identity
- **NPI:** 1104009265 (Entity type: Organization)
- **Enumerated:** December 12, 2007
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **Organization subpart:** No
- **Authorized official:** Gobi Paramanandam, MEMBER MANAGER
## Practice location
- **Address:** 4611 E. SHEA BLVD. BLDG. 3, SUITE 190, Phoenix, AZ 85028-4258
- **Phone:** (480) 889-0180 · **Fax:** (480) 889-0186
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Hospice/Palliative Care (1), Pain Management (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2025
- **Other identifiers:** Medicaid 518589 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1104009265) · Data from the CMS NPPES public registry.