LODI PAIN CLINIC, INC.
NPI 1689611568
Pain Medicine - Interventional Pain Medicine in Lodi, CA
About Lodi Pain Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LODI PAIN CLINIC, INC. (NPI 1689611568) is a healthcare organization registered as an interventional pain medicine in Lodi, California and active in the NPI registry since June 2006. The organization lists Harmanjeet C Dhaliwal, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lodi Pain Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lodi Pain Clinic, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Lodi Pain Clinic, Inc.'s NPI number?
The NPI number for Lodi Pain Clinic, Inc. is 1689611568. It was assigned to this organization in the NPPES registry on June 1, 2006.
Where is Lodi Pain Clinic, Inc. located?
Lodi Pain Clinic, Inc. is located at 777 S Ham Ln Suite F, Lodi, CA 95242. The listed phone number is (209) 339-0300.
What is Lodi Pain Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Lodi Pain Clinic, Inc. enrolled in Medicare?
Yes. Lodi Pain Clinic, Inc. is registered in the Medicare PECOS enrollment system.
When is Lodi Pain Clinic, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lodi Pain Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Lodi Pain Clinic, Inc.. 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 Lodi Pain Clinic, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Lodi Pain Clinic, Inc. · NPI 1689611568
Interventional Pain Medicine organization in Lodi, California. Organization record, active in the CMS NPPES registry since June 1, 2006.
## Identity
- **NPI:** 1689611568 (Entity type: Organization)
- **Enumerated:** June 1, 2006
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Harmanjeet Dhaliwal, OWNER
## Practice location
- **Address:** 777 S HAM LN, SUITE F, Lodi, CA 95242-3591
- **Phone:** (209) 339-0300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1689611568) · Data from the CMS NPPES public registry.