ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC
NPI 1124702287
Anesthesiology - Pain Medicine in Mishawaka, IN

NPI Status: Active since June 09, 2023

Contact Information

3212 HICKORY RD STE B
MISHAWAKA, IN
ZIP 46545
Phone: (574) 251-0498
Fax: (574) 251-0068

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  • Organization
  • Anesthesiology
  • Pain Medicine
  • CLIA Number: 15D2332159
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-14-2027

About ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC

This page provides the complete NPI Profile along with additional information for Advance Pain & Anesthesia Consultants, Pc, a provider established in Mishawaka, Indiana operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1124702287 assigned on June 2023. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated one year ago. Advance Pain & Anesthesia Consultants, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sheel Patel Md (Cmo)

NPI
1124702287
Provider Name
ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC
Entity Type
Organization
Location Address
3212 HICKORY RD STE B MISHAWAKA, IN 46545
Location Phone
(574) 251-0498
Location Fax
(574) 251-0068
Mailing Address
11456 S. BROADWAY CROWN POINT, IN 46307
Mailing Phone
(219) 488-0154
Mailing Fax
(574) 251-0068
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-09-2023
Last Update Date
01-27-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP3300XAmbulatory Health Care Facilities

Clinic/Center
Pain

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHEEL PATEL MD

Authorized Official Title
CMO
Authorized Official Phone
(219) 575-7578

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2332159
Facility Type
Physician Office
Certificate Effective Date
October 15, 2025
Certificate Expiration Date
October 14, 2027
Laboratory Director
SHEEL PATEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advance Pain & Anesthesia Consultants, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124702287, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 7 → 14 → 5 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 4 + 0 + 4 + 2 + 1 + 6 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1124702287.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124702287, enumerated as an "organization" on June 09, 2023.

The provider is located at 3212 HICKORY RD STE B MISHAWAKA, IN 46545 and the phone number is (574) 251-0498.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.