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INTERVENTIONAL SPINE AND JOINT SPECIALISTS, LLC
NPI 1104387521
Pain Medicine - Interventional Pain Medicine in Munster, IN

Active since March 28, 2019
701 SUPERIOR AVE STE B, MUNSTER, IN 46321(219) 333-4757 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2020, Nov 10, 2020, Feb 2, 2020 (3 updates tracked since 2020).

About Interventional Spine And Joint Specialists, Llc NPPES

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

INTERVENTIONAL SPINE AND JOINT SPECIALISTS, LLC (NPI 1104387521) is a healthcare organization registered as an interventional pain medicine in Munster, Indiana and active in the NPI registry since March 2019. The organization maintains a secondary practice location in Dyer and lists Prasanth Nuthakki, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104387521
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINTERVENTIONAL SPINE AND JOINT SPECIALISTS, LLC
Location Address701 SUPERIOR AVE STE BMunster, IN 46321-4038
Mailing AddressPo Box 3039Munster, IN 46321-0039
Phone(219) 333-4757
Organization SubpartNo
Authorized OfficialPrasanth NuthakkiCeo · (219) 836-0296
Enumeration DateMarch 28, 2019
Last NPPES UpdateDecember 9, 20203 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
✔ NPI 1104387521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedElectrodiagnostic MedicineTaxonomy 204R00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X
701 SUPERIOR AVE STE B, Munster, IN 46321
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Secondary Practice Location 1

Location 124 Joliet StDyer, IN 46311-1705 · Phone (219) 864-2237

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

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PRASANTH NUTHAKKI MD
Pain Medicine (Interventional Pain Medicine)
701 SUPERIOR AVE STE B
MUNSTER, IN 46321
Lake County (219) 333-4757

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 Interventional Spine And Joint Specialists, LLC's NPI number?

The NPI number for Interventional Spine And Joint Specialists, LLC is 1104387521. It was assigned to this organization in the NPPES registry on March 28, 2019.

Where is Interventional Spine And Joint Specialists, LLC located?

Interventional Spine And Joint Specialists, LLC is located at 701 Superior Ave Ste B, Munster, IN 46321. The listed phone number is (219) 333-4757.

What is Interventional Spine And Joint Specialists, LLC's specialty?

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

What insurance does Interventional Spine And Joint Specialists, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Interventional Spine And Joint Specialists, LLC 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 Interventional Spine And Joint Specialists, LLC was last updated on December 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.