OMNI PAIN CLINIC
NPI 1154412963
Pain Medicine - Interventional Pain Medicine in Riverside, CA
About Omni Pain Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMNI PAIN CLINIC (NPI 1154412963) is a healthcare organization registered as an interventional pain medicine in Riverside, California and active in the NPI registry since September 2006. The organization maintains a secondary practice location in San Gabriel and lists Augusta Uayemen Ikhisemojie, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Omni Pain Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Omni Pain Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Augusta U. Ikhisemojie, M.D., A Professional Medical Corporation's NPI number?
The NPI number for Augusta U. Ikhisemojie, M.D., A Professional Medical Corporation is 1154412963. It was assigned to this organization in the NPPES registry on September 27, 2006. The provider is doing business as Omni Pain Clinic.
Where is Augusta U. Ikhisemojie, M.D., A Professional Medical Corporation located?
Augusta U. Ikhisemojie, M.D., A Professional Medical Corporation is located at 6485 Day St Ste 305, Riverside, CA 92507. The listed phone number is (951) 413-6433.
What is Augusta U. Ikhisemojie, M.D., A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Augusta U. Ikhisemojie, M.D., A Professional Medical Corporation enrolled in Medicare?
Yes. Augusta U. Ikhisemojie, M.D., A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Augusta U. Ikhisemojie, M.D., A Professional Medical Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Augusta U. Ikhisemojie, M.D., A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Augusta U. Ikhisemojie, M.D., A Professional Medical Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Augusta U. Ikhisemojie, M.D., A Professional Medical Corporation was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Omni Pain Clinic · NPI 1154412963
Interventional Pain Medicine organization in Riverside, California. Organization record, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1154412963 (Entity type: Organization)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Legal business name:** Augusta U. Ikhisemojie, M.d., A Professional Medical Corporation
- **Organization subpart:** No
- **Authorized official:** Augusta Ikhisemojie, PRESIDENT
## Practice location
- **Address:** 6485 DAY ST STE 305, Riverside, CA 92507-0926
- **Phone:** (951) 413-6433 · **Fax:** (951) 413-6633
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Anesthesiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1154412963) · Data from the CMS NPPES public registry.