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ADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC
NPI 1679878698
Pain Medicine - Interventional Pain Medicine in Breese, IL

Active since January 22, 2011
4700 MEMORIAL DRIVE, SUITE 230 PAIN CENTER, 4700 MEMORIAL DRIVE, MEMORIAL HOSPITAL, BREESE, IL 62226(618) 257-5902(618) 257-6671 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Interventional Spine And Pain Institute. Llc NPPES

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

ADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC (NPI 1679878698) is a healthcare organization registered as an interventional pain medicine in Breese, Illinois and active in the NPI registry since January 2011. The organization lists Hongkai Kevin Du, President/owner, as its authorized official.

NPPES Registry Identity

NPI1679878698
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC
Location Address4700 MEMORIAL DRIVE, SUITE 230 PAIN CENTER, 4700 MEMORIAL DRIVE, MEMORIAL HOSPITALBreese, IL 62226
Mailing AddressPo Box 24001Belleville, IL 62223-9001 · (618) 767-3814 · Fax (618) 257-6671
Phone(618) 257-5902
Fax(618) 257-6671
Organization SubpartNo
Authorized OfficialHongkai Kevin DuPresident/owner · (618) 767-3814
Enumeration DateJanuary 22, 2011
Last NPPES UpdateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1679878698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in IL · 036111184
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.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 036111184 (IL)
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 36111184 (IL)
Also ListedClinic/Center · PainTaxonomy 261QP3300X · License 036111184 (IL)
4700 MEMORIAL DRIVE, SUITE 230 PAIN CENTER, Breese, IL 62226
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Interventional Spine And Pain Institute. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Interventional Spine And Pain Institute. LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hong Kai Du, M.D.
Interventional Pain Management
NPI 1396846598
4700 MEMORIAL DRIVE, SUITE 230 (PAIN CENTER) 4500 MEMORIAL DRIVE (MEMORIAL HOSPITAL)
Belleville, IL 62226
(618) 257-5902
✔ PECOS✔ Accepts MedicareSame address

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

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 Advanced Interventional Spine And Pain Institute. LLC's NPI number?

The NPI number for Advanced Interventional Spine And Pain Institute. LLC is 1679878698. It was assigned to this organization in the NPPES registry on January 22, 2011.

Where is Advanced Interventional Spine And Pain Institute. LLC located?

Advanced Interventional Spine And Pain Institute. LLC is located at 4700 Memorial Drive, Suite 230 Pain Center 4700 Memorial Drive, Memorial Hospital, Breese, IL 62226. The listed phone number is (618) 257-5902.

What is Advanced Interventional Spine And Pain Institute. LLC's specialty?

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

Is Advanced Interventional Spine And Pain Institute. LLC enrolled in Medicare?

Yes. Advanced Interventional Spine And Pain Institute. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Interventional Spine And Pain Institute. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Advanced Interventional Spine And Pain Institute. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Interventional Spine And Pain Institute. LLC was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.