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INDIANA NEUROLOGY AND PAIN CENTER LLC
NPI 1639738636
Psychiatry & Neurology - Pain Medicine in Indianapolis, IN

Active since June 12, 2019CLIA 15D2166097 · Certificate of Compliance
7430 N SHADELAND AVE STE 230, INDIANAPOLIS, IN 46250(317) 939-6100 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2019, Jun 12, 2019 (2 updates tracked since 2019).

About Indiana Neurology And Pain Center Llc NPPES

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

INDIANA NEUROLOGY AND PAIN CENTER LLC (NPI 1639738636) is a healthcare organization registered as a pain medicine in Indianapolis, Indiana and active in the NPI registry since June 2019. The organization holds a CLIA Certificate of Compliance certificate valid through February 15, 2027 and lists Samiullah Kundi, Owner, as its authorized official.

NPPES Registry Identity

NPI1639738636
Entity TypeOrganization
Primary Taxonomy2084P2900X
Legal Business NameINDIANA NEUROLOGY AND PAIN CENTER LLC
Location Address7430 N SHADELAND AVE STE 230Indianapolis, IN 46250-2036
Mailing Address6920 Parkdale Pl Ste 215Indianapolis, IN 46254-5611
Phone(317) 939-6100
Organization SubpartNo
Authorized OfficialSamiullah KundiOwner · (317) 939-6100
Enumeration DateJune 12, 2019
Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration
✔ NPI 1639738636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P2900X
Definition
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
7430 N SHADELAND AVE STE 230, Indianapolis, IN 46250
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 15D2166097

Indiana Neurology And Pain Center · Indianapolis, IN
Active · expires Feb 15, 2027
CLIA Number15D2166097
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorDr. Ted E. Schutzbank
Laboratory Phone(317) 348-3622
Laboratory LocationIndiana Neurology And Pain Center7301 N Shadeland Avenue #1a, Indianapolis, IN 46250
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

MORGAN LOUISE SOLARI FNP-C
Nurse Practitioner (Family)
7430 N SHADELAND AVE STE 230
INDIANAPOLIS, IN 46250
Marion County (317) 939-6100
ERYN RAE DE LOS REYES LMT
Massage Therapist
7430 N SHADELAND AVE STE 230
INDIANAPOLIS, IN 46250
Marion County (317) 991-5710
CALMARE TREATMENT CENTER
Clinic/Center (Multi-Specialty)
7430 N SHADELAND AVE STE 230
INDIANAPOLIS, IN 46250
Marion County (317) 991-5710

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 Indiana Neurology And Pain Center LLC's NPI number?

The NPI number for Indiana Neurology And Pain Center LLC is 1639738636. It was assigned to this organization in the NPPES registry on June 12, 2019.

Where is Indiana Neurology And Pain Center LLC located?

Indiana Neurology And Pain Center LLC is located at 7430 N Shadeland Ave Ste 230, Indianapolis, IN 46250. The listed phone number is (317) 939-6100.

What is Indiana Neurology And Pain Center LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Pain Medicine, with taxonomy code 2084P2900X.

Does Indiana Neurology And Pain Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 15D2166097) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Indiana Neurology And Pain Center LLC was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.