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REGENERATIVE PAIN & SPINE PLLC
NPI 1538775770
Anesthesiology - Pain Medicine in Chicago, IL

Active since September 22, 2020CLIA 14D2327977 · Waiver
11536 S. WESTERN AVE, CHICAGO, IL 60643(312) 300-3882(708) 452-1444 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2026, Nov 7, 2025, Sep 22, 2020 (3 updates tracked since 2020).

About Regenerative Pain & Spine Pllc NPPES

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

REGENERATIVE PAIN & SPINE PLLC (NPI 1538775770) is a healthcare organization registered as a pain medicine in Chicago, Illinois and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Shoeb Mohiuddin, Owner, as its authorized official.

NPPES Registry Identity

NPI1538775770
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameREGENERATIVE PAIN & SPINE PLLC
Location Address11536 S. WESTERN AVEChicago, IL 60643
Mailing AddressPo Box 719062Chicago, IL 60677-9286 · (312) 300-3882 · Fax (708) 452-1444
Phone(312) 300-3882
Fax(708) 452-1444
Organization SubpartNo
Authorized OfficialShoeb MohiuddinOwner · (708) 691-8841
Enumeration DateSeptember 22, 2020
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1538775770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
11536 S. WESTERN AVE, Chicago, IL 60643
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Waiver 14D2327977

Regenerative Pain & Spine · Chicago, IL
Active · expires Jul 31, 2027
CLIA Number14D2327977
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorShoeb Mohiuddin
Laboratory Phone(312) 600-3882
Laboratory LocationRegenerative Pain & Spine11536 S Western Ave, Chicago, IL 60643
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Regenerative Pain & Spine PLLC's NPI number?

The NPI number for Regenerative Pain & Spine PLLC is 1538775770. It was assigned to this organization in the NPPES registry on September 22, 2020.

Where is Regenerative Pain & Spine PLLC located?

Regenerative Pain & Spine PLLC is located at 11536 S. Western Ave, Chicago, IL 60643. The listed phone number is (312) 300-3882.

What is Regenerative Pain & Spine PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Regenerative Pain & Spine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2327977) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Regenerative Pain & Spine PLLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.