INDIANA PAIN CENTERS-EVANSVILLE LLC
NPI 1124526306
Clinic/Center - Ambulatory Surgical in Evansville, IN

Active since January 23, 2018CLIA 15D2167382 · Waiver
4411 WASHINGTON AVE STE 100, EVANSVILLE, IN 47714(317) 706-7246(317) 706-3417 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Indiana Pain Centers-evansville Llc NPPES

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

INDIANA PAIN CENTERS-EVANSVILLE LLC (NPI 1124526306) is a healthcare organization registered as an ambulatory surgical in Evansville, Indiana and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Edward Kowlowitz, Owner, as its authorized official.

NPPES Registry Identity

NPI1124526306
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameINDIANA PAIN CENTERS-EVANSVILLE LLC
Location Address4411 WASHINGTON AVE STE 100Evansville, IN 47714-0805
Mailing AddressPo Box 735429Chicago, IL 60673-5429 · (317) 706-7246 · Fax (317) 706-3417
Fax(317) 706-3417
Organization SubpartNo
Authorized OfficialEdward KowlowitzOwner · (317) 706-7246
Enumeration DateJanuary 23, 2018
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
NPI 1124526306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4411 WASHINGTON AVE STE 100, Evansville, IN 47714

Other Identifiers 1

Medicaid300060100IN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 15D2167382

Indiana Pain Centers Evansville LLC · Evansville, IN
Active · expires Jun 5, 2027
CLIA Number15D2167382
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorMansoor A. Khan
Laboratory Phone(812) 437-7246
Laboratory LocationIndiana Pain Centers Evansville LLC4411 Washington Ave Ste 100, Evansville, IN 47714
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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 anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
67 services36 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
25 services11 patients

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
4411 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Pain Medicine (Interventional Pain Medicine)
4411 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Pain Medicine (Interventional Pain Medicine)
4411 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714

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 Indiana Pain Centers-Evansville LLC's NPI number?

The NPI number for Indiana Pain Centers-Evansville LLC is 1124526306. It was assigned to this organization in the NPPES registry on January 23, 2018.

Where is Indiana Pain Centers-Evansville LLC located?

Indiana Pain Centers-Evansville LLC is located at 4411 Washington Ave Ste 100, Evansville, IN 47714. The listed phone number is (317) 706-7246.

What is Indiana Pain Centers-Evansville LLC's specialty?

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

Does Indiana Pain Centers-Evansville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2167382) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Indiana Pain Centers-Evansville LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Indiana Pain Centers-Evansville 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 Indiana Pain Centers-Evansville LLC was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.