MEDICAL PAIN AND SPINE CARE OF INDIANA
NPI 1568771095
Clinic/Center - Pain in Noblesville, IN
NPI Status: Active since October 01, 2010
Contact Information
18077 RIVER RD STE 200
NOBLESVILLE, IN
ZIP 46062
Phone: (317) 776-7028
Fax: (317) 773-7910
- Organization
- Clinic/Center
- Pain
- Accepts Insurance
- CLIA Number: 15D2015110
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-15-2027
About MEDICAL PAIN AND SPINE CARE OF INDIANA
This page provides the complete NPI Profile along with additional information for Medical Pain And Spine Care Of Indiana, a provider established in Noblesville, Indiana operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1568771095 assigned on October 2010. The practitioner's primary taxonomy code is 261QP3300X with license number 02002790A (IN). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Medical Pain And Spine Care Of Indiana. The authorized official of this NPI record is John Peter Klim Do (President)
- NPI
- 1568771095
- Provider Legal Name
- KOKOMO PAIN MANAGEMENT, LLC
- Other Organization Name
- MEDICAL PAIN AND SPINE CARE OF INDIANA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 18077 RIVER RD STE 200 NOBLESVILLE, IN 46062
- Location Phone
- (317) 776-7028
- Location Fax
- (317) 773-7910
- Mailing Address
- 18077 RIVER RD STE 200 NOBLESVILLE, IN 46062
- Mailing Phone
- (317) 776-7028
- Mailing Fax
- (317) 773-7910
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-01-2010
- Last Update Date
- 08-23-2024
- 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
Clinic/Center Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 02002790A
- License State
- IN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - 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 |
---|---|---|---|
200998560 | MEDICAID (05) | IN |
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
- 15D2015110
- Facility Type
- Physician Office
- Certificate Effective Date
- March 16, 2025
- Certificate Expiration Date
- March 15, 2027
- Laboratory Director
- PETER KLIM
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Medical Pain And Spine Care Of Indiana after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for MEDICAL PAIN AND SPINE CARE OF INDIANA
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 6 | 8 | 7 | 7 | 1 | 0 | 9 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 12 | 8 | 14 | 7 | 2 | 0 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 2 + 8 + 1 + 4 + 7 + 2 + 0 + 1 + 8 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1568771095 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
JOHN PETER KLIM DO
Anesthesiology
(Pain Medicine)
18077 RIVER RD STE 200
NOBLESVILLE, IN
ZIP 46062
HAYLEE GOAD FNP-C
Nurse Practitioner
(Family)
18077 RIVER RD STE 200
NOBLESVILLE, IN
ZIP 46062
EMILY HACKETT FNP-C
Nurse Practitioner
(Family)
18077 RIVER RD STE 200
NOBLESVILLE, IN
ZIP 46062
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568771095, enumerated as an "organization" on October 01, 2010.
The provider is located at 18077 RIVER RD STE 200 NOBLESVILLE, IN 46062 and the phone number is (317) 776-7028.
Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to verify.