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

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  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN PETER KLIM DO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(317) 776-7028

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
200998560MEDICAID (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

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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.
1568771095
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281472018
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 = 55

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

(317) 776-7028

HAYLEE GOAD FNP-C

Nurse Practitioner

(Family)

18077 RIVER RD STE 200
NOBLESVILLE, IN
ZIP 46062

(317) 776-7028

EMILY HACKETT FNP-C

Nurse Practitioner

(Family)

18077 RIVER RD STE 200
NOBLESVILLE, IN
ZIP 46062

(317) 776-7028

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.