ARIZONA PAIN AND SPINE INSTITUTE PLLC
NPI 1316147242
Pain Medicine - Interventional Pain Medicine in Mesa, AZ
- Organization
- Pain Medicine
- Interventional Pain Medicine
- Accepts Insurance
- CLIA Number: 03D1089274
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-09-2026
About ARIZONA PAIN AND SPINE INSTITUTE PLLC
This page provides the complete NPI Profile along with additional information for Arizona Pain And Spine Institute Pllc, a provider established in Mesa, Arizona operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1316147242 assigned on July 2007. The practitioner's primary taxonomy code is 208VP0014X with license number 36668 (AZ). The provider is registered as an organization and their NPI record was last updated 17 years ago. Arizona Pain And Spine Institute Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Asim Khan M.d. (Member)
- NPI
- 1316147242 Verify this NPI
- Provider Name
- ARIZONA PAIN AND SPINE INSTITUTE PLLC
- Entity Type
- Organization
- Location Address
- 2045 S VINEYARD SUITE 131 MESA, AZ 85210
- Location Phone
- (480) 986-7246
- Location Fax
- (480) 986-7252
- Mailing Address
- PO BOX 3187 TEMPE, AZ 85280
- Mailing Phone
- (480) 986-7246
- Mailing Fax
- (480) 986-7252
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-19-2007
- Last Update Date
- 07-21-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 36668
- License State
- AZ
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 36668 (AZ) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P1369677-9 | OTHER (01) | AZ | CORPORATION REGISTRATION |
| 6209780001 | MEDICARE NSC (07) | AZ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D1089274
- Facility Type
- Physician Office
- Certificate Effective Date
- August 10, 2024
- Certificate Expiration Date
- August 09, 2026
- Laboratory Director
- DANIEL L. RYKLIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Arizona Pain And Spine Institute Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ARIZONA PAIN AND SPINE INSTITUTE PLLC
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Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
MESA, AZ 85210
MESA, AZ 85210
MESA, AZ 85210
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316147242, enumerated as an "organization" on July 19, 2007.
The provider is located at 2045 S VINEYARD SUITE 131 MESA, AZ 85210 and the phone number is (480) 986-7246.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Medicare. Please consult your insurance carrier or call the provider to verify.
