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

Q: 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.

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: November 01, 2026.

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

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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 and more.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)

Interventional Spine And Joint Specialists, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Interventional Spine And Joint Specialists, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Prasanth Nuthakki, MD

Physical Medicine and Rehabilitation

NPI 1114046455

701 SUPERIOR AVE STE B
Munster, IN 46321

(219) 333-4757

✔ PECOS✔ Accepts MedicareSame address

Kaitlin Fry, FNP-C

Nurse Practitioner

NPI 1417729377

1500 S LAKE PARK AVE STE 204
Hobart, IN 46342

(219) 947-6695

✔ PECOS✔ Accepts Medicare13 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 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.

Is Interventional Spine And Joint Specialists, LLC enrolled in Medicare?

Yes. Interventional Spine And Joint Specialists, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Interventional Spine And Joint Specialists, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Interventional Spine And Joint Specialists, LLC, in Nurse Practitioner 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.