MIDWEST INNOVATIVE PAIN MANAGEMENT PC
NPI 1487239067
Pain Medicine - Interventional Pain Medicine in Dyer, IN

Active since March 15, 2021
1100 JOLIET ST STE 101, DYER, IN 46311(219) 235-3148 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 27, 2026, Sep 16, 2024, Apr 9, 2021 and 1 more (4 updates tracked since 2021).

About Midwest Innovative Pain Management Pc NPPES

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

MIDWEST INNOVATIVE PAIN MANAGEMENT PC (NPI 1487239067) is a healthcare organization registered as an interventional pain medicine in Dyer, Indiana and active in the NPI registry since March 2021. The organization lists Maher Fattouh, Owner, as its authorized official.

NPPES Registry Identity

NPI1487239067
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameMIDWEST INNOVATIVE PAIN MANAGEMENT PC
Location Address1100 JOLIET ST STE 101Dyer, IN 46311-1995
Mailing AddressPo Box 31Dyer, IN 46311-0031 · (219) 440-0135 · Fax (833) 523-9918
Organization SubpartNo
Authorized OfficialMaher FattouhOwner · (414) 455-1153
Enumeration DateMarch 15, 2021
Last NPPES UpdateApril 27, 20264 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1487239067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
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.
1100 JOLIET ST STE 101, Dyer, IN 46311

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midwest Innovative Pain Management Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Midwest Innovative Pain Management PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Pain Management
NPI 1457309965
1100 JOLIET ST STE 101
Dyer, IN 46311
(219) 235-3148
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316464035
8135 CALUMET AVE
Munster, IN 46321
(219) 513-2000
✔ PECOS✔ Accepts Medicare5.1 mi
Interventional Radiology
NPI 1114190782
85 E US HIGHWAY 6 DEPARTMENT OF RADIOLOGY
Valparaiso, IN 46383
(219) 464-4891
✔ PECOS✔ Accepts Medicare23 mi
Diagnostic Radiology
NPI 1407817513
825 LINCOLNWAY
Valparaiso, IN 46383
(219) 464-4891
✔ PECOS✔ Accepts Medicare24 mi
Diagnostic Radiology
NPI 1255356085
1007 LINCOLNWAY
Laporte, IN 46350
(219) 326-2305
✔ PECOS✔ Accepts Medicare41 mi
Interventional Pain Management
NPI 1700317336
1345 NE 4TH AVE
Fort Lauderdale, FL 33304
(954) 458-1199
✔ PECOS✔ Accepts Medicare1,138 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 Midwest Innovative Pain Management PC's NPI number?

The NPI number for Midwest Innovative Pain Management PC is 1487239067. It was assigned to this organization in the NPPES registry on March 15, 2021.

Where is Midwest Innovative Pain Management PC located?

Midwest Innovative Pain Management PC is located at 1100 Joliet St Ste 101, Dyer, IN 46311. The listed phone number is (219) 235-3148.

What is Midwest Innovative Pain Management PC's specialty?

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

Is Midwest Innovative Pain Management PC enrolled in Medicare?

Yes. Midwest Innovative Pain Management PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midwest Innovative Pain Management PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Midwest Innovative Pain Management PC, in Diagnostic Radiology, Interventional Pain Management, Interventional Radiology, Nurse Practitioner and Pain Management. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Midwest Innovative Pain Management PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Midwest Innovative Pain Management 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 Midwest Innovative Pain Management PC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.