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RESTORATIVE PAIN INSTITUTE
NPI 1245021369
Physician Assistant in Louisville, KY

Active since May 16, 2025
4201 SPRINGHURST BLVD STE 102, LOUISVILLE, KY 40241(502) 515-6090 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Restorative Pain Institute NPPES

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

RESTORATIVE PAIN INSTITUTE (NPI 1245021369) is a healthcare organization registered as a physician assistant in Louisville, Kentucky and active in the NPI registry since May 2025. The organization lists Timothy James Beacham, Owner, as its authorized official.

NPPES Registry Identity

NPI1245021369
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameRESTORATIVE PAIN INSTITUTE
Location Address4201 SPRINGHURST BLVD STE 102Louisville, KY 40241-6156
Mailing Address4201 Springhurst Blvd Ste 102Louisville, KY 40241-6156
Phone(502) 515-6090
Organization SubpartNo
Authorized OfficialTimothy James BeachamOwner · (502) 515-4901
Enumeration DateMay 16, 2025
NPPES CertifiedMay 16, 2025
✔ NPI 1245021369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4201 SPRINGHURST BLVD STE 102, Louisville, KY 40241
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

5

Medicare 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)

Dany Rodriguez Gonzalez, APRN
Nurse Practitioner
NPI 1952116253
4201 SPRINGHURST BLVD STE 102
Louisville, KY 40241
(502) 515-6090
✔ PECOSSame address
Timothy Beacham, MD
Pain Management
NPI 1669670360
4201 SPRINGHURST BLVD STE 102
Louisville, KY 40241
(502) 352-2530
✔ PECOSSame address
Emily Pierce, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1821562646
4201 SPRINGHURST BLVD STE 102
Louisville, KY 40241
(502) 515-6090
✔ PECOSSame address
Anne Powell
Nurse Practitioner
NPI 1982175329
4201 SPRINGHURST BLVD STE 102
Louisville, KY 40241
(502) 515-6090
✔ PECOSSame address
Melissa Schellenberger, PA, APRN
Nurse Practitioner
NPI 1225355738
2 MIRANOVA PL STE 500
Columbus, OH 43215
(614) 321-9743
✔ PECOS✔ Accepts Medicare179 mi

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 Restorative Pain Institute's NPI number?

The NPI number for Restorative Pain Institute is 1245021369. It was assigned to this organization in the NPPES registry on May 16, 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 Physician Assistant with taxonomy code 363A00000X.

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.

What insurance does Restorative Pain Institute accept?

Health plans from Anthem Blue Cross and Blue Shield list Restorative Pain Institute 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 Restorative Pain Institute was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.