LAFAYETTE PAIN CARE, P.C.
NPI 1205189594
Pain Medicine - Pain Medicine in Lafayette, IN
About Lafayette Pain Care, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAFAYETTE PAIN CARE, P.C. (NPI 1205189594) is a healthcare organization registered as a pain medicine in Lafayette, Indiana and active in the NPI registry since October 2012. The organization holds an CLIA Accreditation certificate valid through July 2, 2027 and lists Shazia Siddiqui, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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)
Lafayette Pain Care, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Lafayette Pain Care, P.C., which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
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 Accreditation 15D2052478
Lafayette Pain Care PC · Lafayette, INFrequently 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 Lafayette Pain Care, P.C.'s NPI number?
The NPI number for Lafayette Pain Care, P.C. is 1205189594. It was assigned to this organization in the NPPES registry on October 24, 2012.
Where is Lafayette Pain Care, P.C. located?
Lafayette Pain Care, P.C. is located at 770 Park East Blvd Ste B, Lafayette, IN 47905. The listed phone number is (765) 714-4344.
What is Lafayette Pain Care, P.C.'s specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Lafayette Pain Care, P.C. enrolled in Medicare?
Yes. Lafayette Pain Care, P.C. is registered in the Medicare PECOS enrollment system.
When is Lafayette Pain Care, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Indiana, Physician - General Practice) is due for revalidation by February 28, 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 Lafayette Pain Care, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Lafayette Pain Care, P.C.. 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 (3), Interventional Pain Management (2) and Anesthesiology (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lafayette Pain Care, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 15D2052478) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lafayette Pain Care, P.C. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Lafayette Pain Care, P.C. 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 Lafayette Pain Care, P.C. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lafayette Pain Care, P.c. · NPI 1205189594
Pain Medicine organization in Lafayette, Indiana. Organization record, active in the CMS NPPES registry since October 24, 2012.
## Identity
- **NPI:** 1205189594 (Entity type: Organization)
- **Enumerated:** October 24, 2012
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **Organization subpart:** No
- **Authorized official:** Shazia Siddiqui, OWNER
## Practice location
- **Address:** 770 PARK EAST BLVD STE B, Lafayette, IN 47905-0786
- **Phone:** (765) 714-4344 · **Fax:** (765) 838-3200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Indiana, Physician - General Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Interventional Pain Management (2), Anesthesiology (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205189594) · Data from the CMS NPPES public registry.