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ADVANCED PAIN CONSULTANTS, S.C.
NPI 1164567236
Pain Medicine - Interventional Pain Medicine in Oak Brook, IL

Active since February 20, 2007CLIA Certified · 3 labs
2100 CLEARWATER DR STE 100, OAK BROOK, IL 60523(630) 607-1000(630) 607-1002 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2025, Feb 26, 2025, Feb 28, 2019 (3 updates tracked since 2019).

About Advanced Pain Consultants, S.c. NPPES

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

ADVANCED PAIN CONSULTANTS, S.C. (NPI 1164567236) is a healthcare organization registered as an interventional pain medicine in Oak Brook, Illinois and active in the NPI registry since February 2007. The organization holds 3 active CLIA laboratory certificates and lists Nicholas Kondelis, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1164567236
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameADVANCED PAIN CONSULTANTS, S.C.
Location Address2100 CLEARWATER DR STE 100Oak Brook, IL 60523-1931
Mailing Address2100 Clearwater Dr Ste 100Oak Brook, IL 60523-1931 · (630) 607-1000 · Fax (630) 607-1002
Phone(630) 607-1000
Fax(630) 607-1002
Organization SubpartNo
Authorized OfficialNicholas KondelisPresident & Ceo · (630) 607-1000
Enumeration DateFebruary 20, 2007
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1164567236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
2100 CLEARWATER DR STE 100, Oak Brook, IL 60523
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Other Identifiers 1

Medicaid036070815IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Pain Consultants, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Pain Consultants, S.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nicholas Kondelis, M.D
Pain Management
NPI 1346282126
2100 CLEARWATER DR STE 100
Oak Brook, IL 60523
(630) 607-1000
✔ PECOS✔ Accepts MedicareSame address
Shoeb Mohiuddin, M.D.
Pain Management
NPI 1770928640
1658 N MILWAUKEE AVE # 295
Chicago, IL 60647
(312) 300-3882
✔ PECOS✔ Accepts Medicare14 mi
Adelaide Viguri, D.O.
Emergency Medicine
NPI 1891059101
2601 OCEAN PKWY
Brooklyn, NY 11235
(718) 616-3000
✔ PECOS✔ Accepts Medicare732 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

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 14D1101138

Advanced Pain Consultants S C · Oak Brook, IL
Active · expires Jun 21, 2027
CLIA Number14D1101138
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorNicholas Kondelis
Laboratory Phone(630) 607-1000
Laboratory LocationAdvanced Pain Consultants S C2100 Clearwater Dr, Ste 100, Oak Brook, IL 60523
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2195290

Advanced Pain Consultants, S C · Oak Lawn, IL
Active · expires Oct 6, 2028
CLIA Number14D2195290
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2026
Certificate Expiration DateOctober 6, 2028
Laboratory DirectorNicholas P. Kondelis
Laboratory Phone(630) 607-1000
Laboratory LocationAdvanced Pain Consultants, S C5851 95th St - Ste 300, Oak Lawn, IL 60453
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2195294

Advanced Pain Consultants, Sc · Orland Park, IL
Active · expires Oct 6, 2028
CLIA Number14D2195294
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2026
Certificate Expiration DateOctober 6, 2028
Laboratory DirectorNicholas P. Kondelis
Laboratory Phone(630) 607-1000
Laboratory LocationAdvanced Pain Consultants, Sc10719 160th St, Orland Park, IL 60467
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Pain Consultants, S.C.'s NPI number?

The NPI number for Advanced Pain Consultants, S.C. is 1164567236. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Advanced Pain Consultants, S.C. located?

Advanced Pain Consultants, S.C. is located at 2100 Clearwater Dr Ste 100, Oak Brook, IL 60523. The listed phone number is (630) 607-1000.

What is Advanced Pain Consultants, S.C.'s specialty?

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

Is Advanced Pain Consultants, S.C. enrolled in Medicare?

Yes. Advanced Pain Consultants, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Pain Consultants, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Advanced Pain Consultants, S.C., in Emergency Medicine and Pain Management. 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.

Does Advanced Pain Consultants, S.C. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Advanced Pain Consultants, S.C. was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.