INTERVENTIONAL PAIN MANAGEMENT SERVICES LLC
NPI 1710018247
Pain Medicine - Interventional Pain Medicine in Florissant, MO

Active since March 08, 2007
261 DUNN RD, FLORISSANT, MO 63031(314) 830-2600(314) 830-2648 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2026, Jun 30, 2017, Jan 3, 2017 and 1 more (4 updates tracked since 2016).

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 1710018247) is a healthcare organization registered as an interventional pain medicine in Florissant, Missouri and active in the NPI registry since March 2007. The organization maintains a secondary practice location in Granite City and lists Mahendra Pal Gunapooti, President, as its authorized official.

NPPES Registry Identity

NPI1710018247
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINTERVENTIONAL PAIN MANAGEMENT SERVICES LLC
Location Address261 DUNN RDFlorissant, MO 63031-7928
Mailing AddressPo Box 650Edwardsville, IL 62025-0650 · (314) 830-2600 · Fax (314) 830-2648
Fax(314) 830-2648
Organization SubpartNo
Authorized OfficialMahendra Pal GunapootiPresident · (314) 830-2600
Enumeration DateMarch 8, 2007
Last NPPES UpdateMay 6, 20264 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1710018247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in IL · 036112334
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.
261 DUNN RD, Florissant, MO 63031

Secondary Practice Location 1

Location 12421 Corporate Ctr Ste 105Granite City, IL 62040-4195 · Phone (314) 830-2600 · Fax (314) 830-2648

Other Identifiers 1

Medicaid500000889MO

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

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)

Interventional Pain Management Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20050114000760Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Interventional Pain Management Services LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Physical Medicine and Rehabilitation
NPI 1114034931
261 DUNN RD
Florissant, MO 63031
(314) 830-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093409880
261 DUNN RD
Florissant, MO 63031
(314) 830-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073966230
261 DUNN RD
Florissant, MO 63031
(314) 830-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417904624
6071 TELEGRAPH RD
Saint Louis, MO 63129
(314) 846-9265
✔ PECOS22 mi

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 Interventional Pain Management Services LLC's NPI number?

The NPI number for Interventional Pain Management Services LLC is 1710018247. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Interventional Pain Management Services LLC located?

Interventional Pain Management Services LLC is located at 261 Dunn Rd, Florissant, MO 63031. The listed phone number is (314) 830-2600.

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.

Is Interventional Pain Management Services LLC enrolled in Medicare?

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

When is Interventional Pain Management Services LLC'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 (Illinois, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Interventional Pain Management Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Interventional Pain Management Services 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 (3) and Physical Medicine and Rehabilitation (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Interventional Pain Management Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Interventional Pain Management Services 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 Management Services LLC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.