INTERVENTIONAL PAIN MANAGEMENT SERVICES LLC
NPI 1609351923
Pain Medicine - Interventional Pain Medicine in Granite City, IL

Active since October 02, 2018
2421 CORPORATE CTR STE 105, GRANITE CITY, IL 62040(618) 288-8905 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2026, Oct 2, 2018 (2 updates tracked since 2018).

About Interventional Pain Management Services Llc NPPES

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

INTERVENTIONAL PAIN MANAGEMENT SERVICES LLC (NPI 1609351923) is a healthcare organization registered as an interventional pain medicine in Granite City, Illinois and active in the NPI registry since October 2018. The organization lists Mahendra Gunapooti, President, as its authorized official.

NPPES Registry Identity

NPI1609351923
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINTERVENTIONAL PAIN MANAGEMENT SERVICES LLC
Location Address2421 CORPORATE CTR STE 105Granite City, IL 62040-4195
Mailing AddressPo Box 650Edwardsville, IL 62025-0650 · (314) 830-2600 · Fax (314) 830-2648
Organization SubpartNo
Authorized OfficialMahendra GunapootiPresident · (314) 830-2600
Enumeration DateOctober 2, 2018
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1609351923 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.
2421 CORPORATE CTR STE 105, Granite City, IL 62040

Other Names 1

Other NameInterventional Pain Management

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
2421 CORPORATE CTR STE 105
GRANITE CITY, IL 62040

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 Interventional Pain Management Services LLC's NPI number?

The NPI number for Interventional Pain Management Services LLC is 1609351923. It was assigned to this organization in the NPPES registry on October 2, 2018. The provider is also known as Interventional Pain Management.

Where is Interventional Pain Management Services LLC located?

Interventional Pain Management Services LLC is located at 2421 Corporate Ctr Ste 105, Granite City, IL 62040. The listed phone number is (618) 288-8905.

What is Interventional Pain Management Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Interventional Pain Management Services LLC was last updated on May 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.