COMMONWEALTH PAIN ASSOCIATES PLLC
NPI 1720743917
Non-Pharmacy Dispensing Site in Louisville, KY

NPI Status: Active since November 03, 2021

Contact Information

120 EXECUTIVE PARK
LOUISVILLE, KY
ZIP 40207
Phone: (502) 855-7200
Fax: (502) 855-7201

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 18D2279588
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-03-2027

About COMMONWEALTH PAIN ASSOCIATES PLLC

This page provides the complete NPI Profile along with additional information for Commonwealth Pain Associates Pllc, a provider established in Louisville, Kentucky operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1720743917 assigned on November 2021. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Commonwealth Pain Associates Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Stephen Young Managing Partner (Md)

NPI
1720743917
Provider Name
COMMONWEALTH PAIN ASSOCIATES PLLC
Entity Type
Organization
Location Address
120 EXECUTIVE PARK LOUISVILLE, KY 40207
Location Phone
(502) 855-7200
Location Fax
(502) 855-7201
Mailing Address
120 EXECUTIVE PARK LOUISVILLE, KY 40207
Mailing Phone
(502) 855-7200
Mailing Fax
(502) 855-7201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2021
Last Update Date
11-03-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHEN YOUNG MANAGING PARTNER

Authorized Official Title
MD
Authorized Official Phone
(502) 855-7200

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2279588
Facility Type
Physician Office
Certificate Effective Date
April 04, 2025
Certificate Expiration Date
April 03, 2027
Laboratory Director
DR. STEPHEN YOUNG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Commonwealth Pain Associates Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720743917, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 7 → 14 → 5 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 1 + 4 + 4 + 6 + 9 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1720743917.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Nurse Practitioner (Adult Health)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Physician Assistant
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Anesthesiology (Pain Medicine)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Nurse Practitioner (Adult Health)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Nurse Practitioner (Adult Health)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Physician Assistant (Medical)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Anesthesiology (Pain Medicine)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Anesthesiology (Pain Medicine)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Physician Assistant
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Physician Assistant
120 EXECUTIVE PARK
ST MATTHEWS, KY 40207
Anesthesiology
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Physician Assistant
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Pain Medicine (Interventional Pain Medicine)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720743917, enumerated as an "organization" on November 03, 2021.

The provider is located at 120 EXECUTIVE PARK LOUISVILLE, KY 40207 and the phone number is (502) 855-7200.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.