MEDICAL PAIN AND SPINE CARE OF INDIANA
NPI 1568771095
Clinic/Center - Pain in Noblesville, IN

Active since October 01, 2010CLIA 15D2015110 · Certificate of Compliance
18077 RIVER RD STE 200, NOBLESVILLE, IN 46062(317) 776-7028(317) 773-7910 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2024, Nov 20, 2019 (2 updates tracked since 2019).

About Medical Pain And Spine Care Of Indiana NPPES

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

MEDICAL PAIN AND SPINE CARE OF INDIANA (NPI 1568771095) is a healthcare organization registered as a pain in Noblesville, Indiana and active in the NPI registry since October 2010. The organization holds a CLIA Certificate of Compliance certificate valid through March 15, 2027 and lists John Peter Klim, President, as its authorized official.

NPPES Registry Identity

NPI1568771095
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameKOKOMO PAIN MANAGEMENT, LLC
Location Address18077 RIVER RD STE 200Noblesville, IN 46062-8334
Mailing Address18077 River Rd Ste 200Noblesville, IN 46062-8334 · (317) 776-7028 · Fax (317) 773-7910
Fax(317) 773-7910
Organization SubpartNo
Authorized OfficialJohn Peter KlimPresident · (317) 776-7028
Enumeration DateOctober 1, 2010
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1568771095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License✔ Licensed in IN · 02002790A
18077 RIVER RD STE 200, Noblesville, IN 46062

Other Names 1

Doing Business AsMedical Pain And Spine Care Of Indiana

Other Identifiers 1

Medicaid200998560IN

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)

Medical Pain And Spine Care Of Indiana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Medical Pain And Spine Care Of Indiana, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1215829197
18077 RIVER RD
Noblesville, IN 46062
(317) 776-7028
✔ PECOSSame address
Nurse Practitioner
NPI 1417626409
18077 RIVER RD STE 200
Noblesville, IN 46062
(317) 776-7028
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1508834672
18077 RIVER RD STE 200
Noblesville, IN 46062
(317) 776-7028
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790440030
9879 E 116TH ST
Fishers, IN 46037
(317) 576-1114
✔ PECOS6.8 mi
Nurse Practitioner
NPI 1518470046
13485 FOREST GLADE DR
Fishers, IN 46037
(317) 845-4204
✔ PECOS✔ Accepts Medicare8.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 15D2015110

Kokomo Pain Management, LLC · Noblesville, IN
Active · expires Mar 15, 2027
CLIA Number15D2015110
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorPeter Klim
Laboratory Phone(317) 776-7028
Laboratory LocationKokomo Pain Management, LLC18077 River Rd Ste 200, Noblesville, IN 46062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Kokomo Pain Management, LLC's NPI number?

The NPI number for Kokomo Pain Management, LLC is 1568771095. It was assigned to this organization in the NPPES registry on October 1, 2010. The provider is doing business as Medical Pain And Spine Care Of Indiana.

Where is Kokomo Pain Management, LLC located?

Kokomo Pain Management, LLC is located at 18077 River Rd Ste 200, Noblesville, IN 46062. The listed phone number is (317) 776-7028.

What is Kokomo Pain Management, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Is Kokomo Pain Management, LLC enrolled in Medicare?

Yes. Kokomo Pain Management, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kokomo Pain Management, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Kokomo Pain Management, LLC. 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. The largest specialties are Nurse Practitioner (4) and Anesthesiology (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kokomo Pain Management, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 15D2015110) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kokomo Pain Management, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Kokomo Pain Management, LLC 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 Kokomo Pain Management, LLC was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.