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INTERVENTIONAL PAIN MEDICINE LLC
NPI 1639332505
Pain Medicine - Pain Medicine in Swansea, IL

Active since July 09, 2008CLIA 14D2007992 · Waiver
1 BRONZE POINTE BLVD, SUITE 1-A, SWANSEA, IL 62226(618) 233-7055 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Interventional Pain Medicine Llc NPPES

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

INTERVENTIONAL PAIN MEDICINE LLC (NPI 1639332505) is a healthcare organization registered as a pain medicine in Swansea, Illinois and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Naheed T Bashir, Owner, as its authorized official.

NPPES Registry Identity

NPI1639332505
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameINTERVENTIONAL PAIN MEDICINE LLC
Location Address1 BRONZE POINTE BLVD, SUITE 1-ASwansea, IL 62226-1045
Mailing Address1 Bronze Pointe Blvd, Suite 1-aSwansea, IL 62226-1045 · (618) 233-7055
Phone(618) 233-7055
Organization SubpartNo
Authorized OfficialNaheed T BashirOwner · (618) 233-7055
Enumeration DateJuly 9, 2008
Last NPPES UpdateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
✔ NPI 1639332505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
1 BRONZE POINTE BLVD, Swansea, IL 62226
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Other Identifiers 3

Other8232343IL · Bluecross Blue Shield
Other869795IL · Healthlink
Medicaid036120409IL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield.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)

Interventional Pain Medicine Llc 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 Interventional Pain Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Ashley Bingman, FNP-C
Nurse Practitioner
NPI 1780142356
1 BRONZE POINTE BLVD STE 1A
Swansea, IL 62226
(618) 233-7055
✔ PECOS✔ Accepts MedicareSame address
Naheed Bashir, M.D.
Interventional Radiology
NPI 1245355916
1 BRONZE POINTE STE 1A
Belleville, IL 62226
(618) 233-7055
✔ PECOS✔ Accepts MedicareSame address
Samantha Collins, DNP,FNP-C
Nurse Practitioner
NPI 1215481924
2 COTTONWOOD RD
Glen Carbon, IL 62034
(314) 687-2733
✔ PECOS✔ Accepts Medicare15 mi
Jennifer Herter, ANP-C
Nurse Practitioner
NPI 1720421175
11125 DUNN RD STE 100
Saint Louis, MO 63136
(314) 653-5000
✔ PECOS✔ Accepts Medicare20 mi
Roxanna Gunnels, APRN, NP-C
Nurse Practitioner
NPI 1639778160
103 COMMERCE ST
Carmi, IL 62821
(618) 384-5686
✔ PECOS✔ Accepts Medicare103 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 Waiver 14D2007992

Interventional Pain Medicine LLC · Belleville, IL
Active · expires Aug 24, 2027
CLIA Number14D2007992
Laboratory TypeIndependent
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorNaheed Bashir MD
Laboratory Phone(618) 233-7055
Laboratory LocationInterventional Pain Medicine LLC#1 Bronze Point, Ste 1A, Belleville, IL 62226
CLIA data matches this NPI record on: Name Phone
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 Interventional Pain Medicine LLC's NPI number?

The NPI number for Interventional Pain Medicine LLC is 1639332505. It was assigned to this organization in the NPPES registry on July 9, 2008.

Where is Interventional Pain Medicine LLC located?

Interventional Pain Medicine LLC is located at 1 Bronze Pointe Blvd Suite 1-A, Swansea, IL 62226. The listed phone number is (618) 233-7055.

What is Interventional Pain Medicine LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Interventional Pain Medicine LLC enrolled in Medicare?

Yes. Interventional Pain Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Interventional Pain Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Interventional Pain Medicine 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 Interventional Radiology (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Interventional Pain Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2007992) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Interventional Pain Medicine LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Anthem Blue Cross and Blue Shield list Interventional Pain Medicine 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 Interventional Pain Medicine LLC was last updated on February 27, 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.