MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC
NPI 1386902013
Pain Medicine - Interventional Pain Medicine in Niles, MI

Q: What is Michiana Spine, Sports & Occupational Rehab, PC's specialty?

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

Active since May 01, 2012

24 N SAINT JOSEPH AVE STE B, NILES, MI 49120(574) 252-4150(574) 252-4159 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2022, Oct 24, 2022 (2 updates tracked since 2022).

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About Michiana Spine, Sports & Occupational Rehab, Pc NPPES

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

MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC (NPI 1386902013) is a healthcare organization registered as an interventional pain medicine in Niles, Michigan and active in the NPI registry since May 2012. The organization lists Kevin G Drew, Owner, as its authorized official.

NPPES Registry Identity

NPI1386902013

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameMICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC

Location Address24 N SAINT JOSEPH AVE STE BNiles, MI 49120-2263

Mailing Address3740 Edison Lakes PkwyMishawaka, IN 46545-3474 · (574) 252-4150 · Fax (574) 252-4159

Phone(574) 252-4150

Fax(574) 252-4159

Organization SubpartNo

Authorized OfficialKevin G DrewOwner · (574) 252-4150

Enumeration DateMay 1, 2012

Last NPPES UpdateNovember 3, 20222 updates tracked since enumeration

NPPES CertifiedNovember 3, 2022

✔ NPI 1386902013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in MI · 4301070312

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.

24 N SAINT JOSEPH AVE STE B, Niles, MI 49120

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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 Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 Michiana Spine, Sports & Occupational Rehab, PC's NPI number?

The NPI number for Michiana Spine, Sports & Occupational Rehab, PC is 1386902013. It was assigned to this organization in the NPPES registry on May 1, 2012.

Where is Michiana Spine, Sports & Occupational Rehab, PC located?

Michiana Spine, Sports & Occupational Rehab, PC is located at 24 N Saint Joseph Ave Ste B, Niles, MI 49120. The listed phone number is (574) 252-4150.

What is Michiana Spine, Sports & Occupational Rehab, PC's specialty?

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

What insurance does Michiana Spine, Sports & Occupational Rehab, PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michiana Spine, Sports & Occupational Rehab, PC 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 Michiana Spine, Sports & Occupational Rehab, PC was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.