AVENSTAR PAIN SPECIALISTS, PLLC
NPI 1104219385
Pain Medicine - Interventional Pain Medicine in Midwest City, OK

Active since March 11, 2015
1732 S SOONER RD, MIDWEST CITY, OK 73110(405) 438-0913 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2025, Feb 1, 2023, Dec 18, 2020 and 2 more (5 updates tracked since 2018).

About Avenstar Pain Specialists, Pllc NPPES

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

AVENSTAR PAIN SPECIALISTS, PLLC (NPI 1104219385), doing business as Avenstar Pain Specialists, is a healthcare organization registered as an interventional pain medicine in Midwest City, Oklahoma and active in the NPI registry since March 2015. The organization lists Steve Eric Randall, Owner, as its authorized official.

NPPES Registry Identity

NPI1104219385
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameAVENSTAR PAIN SPECIALISTS, PLLC
Location Address1732 S SOONER RDMidwest City, OK 73110
Mailing Address1732 S Sooner RdMidwest City, OK 73110 · (405) 438-0913 · Fax (405) 438-0958
Organization SubpartNo
Authorized OfficialSteve Eric RandallOwner · (405) 438-0913
Enumeration DateMarch 11, 2015
Last NPPES UpdateMarch 6, 20255 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1104219385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in OK · 2493
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 ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License N4691 (TX)
1732 S SOONER RD, Midwest City, OK 73110

Other Names 2

Doing Business AsAvenstar Pain Specialists
Doing Business AsRandall Pain Managment

Other Identifiers 1

Medicaid200341890AOK

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

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)

Avenstar Pain Specialists, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Avenstar Pain Specialists, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1609618776
1732 S SOONER RD
Oklahoma City, OK 73110
(405) 438-0487
✔ PECOS✔ Accepts MedicareSame address
Interventional Pain Management
NPI 1902078298
1732 S SOONER RD
Midwest City, OK 73110
(405) 438-0913
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376079780
3110 N INTERSTATE DR STE 120
Norman, OK 73072
(405) 759-8407
✔ PECOS✔ Accepts Medicare14 mi

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 Avenstar Pain Specialists, PLLC's NPI number?

The NPI number for Avenstar Pain Specialists, PLLC is 1104219385. It was assigned to this organization in the NPPES registry on March 11, 2015. The provider is doing business as Avenstar Pain Specialists and Randall Pain Managment.

Where is Avenstar Pain Specialists, PLLC located?

Avenstar Pain Specialists, PLLC is located at 1732 S Sooner Rd, Midwest City, OK 73110. The listed phone number is (405) 438-0913.

What is Avenstar Pain Specialists, PLLC's specialty?

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

Is Avenstar Pain Specialists, PLLC enrolled in Medicare?

Yes. Avenstar Pain Specialists, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avenstar Pain Specialists, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Avenstar Pain Specialists, PLLC, in Interventional Pain Management and Nurse Practitioner. 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 Avenstar Pain Specialists, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Avenstar Pain Specialists, PLLC 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 Avenstar Pain Specialists, PLLC was last updated on March 6, 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.