RESTORATIVE PAIN INSTITUTE
NPI 1174322309
Nurse Practitioner in Louisville, KY
About Restorative Pain Institute NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESTORATIVE PAIN INSTITUTE (NPI 1174322309) is a healthcare organization registered as a nurse practitioner in Louisville, Kentucky and active in the NPI registry since March 2025. The organization holds a CLIA Certificate of Compliance certificate valid through June 10, 2028 and lists Timothy James Beacham, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Restorative Pain Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Restorative Pain Institute, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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
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 Compliance 18D2287100
Restorative Pain Institute · Louisville, KYFrequently 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 Restorative Pain Institute's NPI number?
The NPI number for Restorative Pain Institute is 1174322309. It was assigned to this organization in the NPPES registry on March 11, 2025.
Where is Restorative Pain Institute located?
Restorative Pain Institute is located at 4201 Springhurst Blvd Ste 102, Louisville, KY 40241. The listed phone number is (502) 515-6090.
What is Restorative Pain Institute's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Restorative Pain Institute enrolled in Medicare?
Yes. Restorative Pain Institute is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Restorative Pain Institute?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Restorative Pain Institute. 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. The largest specialties are Nurse Practitioner (4) and Pain Management (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Restorative Pain Institute hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 18D2287100) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Restorative Pain Institute was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Restorative Pain Institute · NPI 1174322309
Nurse Practitioner organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since March 11, 2025.
## Identity
- **NPI:** 1174322309 (Entity type: Organization)
- **Enumerated:** March 11, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Timothy Beacham, OWNER
## Practice location
- **Address:** 4201 SPRINGHURST BLVD STE 102, Louisville, KY 40241-6156
- **Phone:** (502) 515-6090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Pain Management (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174322309) · Data from the CMS NPPES public registry.