PAIN MANAGEMENT & TREATMENT CENTER, S.C.
NPI 1750412201
Specialist in Milwaukee, WI

Active since March 08, 2007CLIA 52D2002830 · Accreditation
8901 N 76TH ST, MILWAUKEE, WI 53223(414) 354-0772(414) 365-0773 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Pain Management & Treatment Center, S.c. NPPES

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

PAIN MANAGEMENT & TREATMENT CENTER, S.C. (NPI 1750412201) is a healthcare organization registered as a specialist in Milwaukee, Wisconsin and active in the NPI registry since March 2007. The organization holds an CLIA Accreditation certificate valid through September 11, 2028 and lists Jaison Thekkekara, Treasure, as its authorized official.

NPPES Registry Identity

NPI1750412201
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePAIN MANAGEMENT & TREATMENT CENTER, S.C.
Location Address8901 N 76TH STMilwaukee, WI 53223-1901
Mailing Address8901 N 76th StMilwaukee, WI 53223-1901 · (414) 354-0772 · Fax (414) 365-0773
Fax(414) 365-0773
Organization SubpartNo
Authorized OfficialJaison ThekkekaraTreasure · (972) 839-6292
Enumeration DateMarch 8, 2007
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1750412201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8901 N 76TH ST, Milwaukee, WI 53223

Other Identifiers 1

Medicaid32896100WI

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)

Pain Management & Treatment Center, S.c. 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
StateWisconsinEnrollment IDO20040202000063Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Pain Management & Treatment Center, S.C., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Physical Therapist in Private Practice3
Anesthesiology2
Interventional Radiology2
Nurse Practitioner2
Interventional Pain Management1
Physical Medicine and Rehabilitation1

Clinicians, nearest first (11)

Physical Medicine and Rehabilitation
NPI 1871569830
8901 N 76TH ST
Milwaukee, WI 53223
(414) 354-0772
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902107691
8901 N 76TH ST
Milwaukee, WI 53223
(414) 354-0772
✔ PECOSSame address
Anesthesiology
NPI 1174561914
8901 N 76TH ST
Milwaukee, WI 53223
(414) 354-0772
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1811020779
8901 N 76TH ST
Milwaukee, WI 53223
(414) 354-0772
Same address
Interventional Pain Management
NPI 1619950375
525 W RIVER WOODS PKWY STE 130
Glendale, WI 53212
(414) 249-2420
✔ PECOS✔ Accepts Medicare7.4 mi
Physical Therapist in Private Practice
NPI 1871881094
20700 WATERTOWN RD STE 100
Waukesha, WI 53186
(414) 540-8821
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1013099845
1700 W PARADISE DR
West Bend, WI 53095
(262) 334-3451
✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1205498680
1041 MAIN ST
Lomira, WI 53048
(262) 339-1264
✔ PECOS✔ Accepts Medicare36 mi
Interventional Radiology
NPI 1023058641
77 N AIRLITE ST
Elgin, IL 60123
(847) 695-3200
✔ PECOS✔ Accepts Medicare81 mi
Anesthesiology
NPI 1588015416
329 REMINGTON BLVD STE 205
Bolingbrook, IL 60440
(630) 226-1130
✔ PECOS103 mi
Interventional Radiology
NPI 1609187186
6000 N FEDERAL HWY
Fort Lauderdale, FL 33308
(954) 771-2551
✔ PECOS1,252 mi

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

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 Accreditation 52D2002830

Pain Management Treatment Center Sc · Milwaukee, WI
Active · expires Sep 11, 2028
CLIA Number52D2002830
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2026
Certificate Expiration DateSeptember 11, 2028
Laboratory DirectorDr. Jaison Thekkekara
Laboratory Phone(414) 354-0772
Laboratory LocationPain Management Treatment Center Sc8901 N 76th St, Milwaukee, WI 53223
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Pain Management & Treatment Center, S.C.'s NPI number?

The NPI number for Pain Management & Treatment Center, S.C. is 1750412201. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Pain Management & Treatment Center, S.C. located?

Pain Management & Treatment Center, S.C. is located at 8901 N 76th St, Milwaukee, WI 53223. The listed phone number is (414) 354-0772.

What is Pain Management & Treatment Center, S.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pain Management & Treatment Center, S.C. enrolled in Medicare?

Yes. Pain Management & Treatment Center, S.C. is registered in the Medicare PECOS enrollment system.

When is Pain Management & Treatment Center, S.C.'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 (Wisconsin, 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 Pain Management & Treatment Center, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 6 Medicare specialties reassign their Medicare billing to Pain Management & Treatment Center, S.C.. 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 Physical Therapist in Private Practice (3), Anesthesiology (2) and Interventional Radiology (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pain Management & Treatment Center, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D2002830) is associated with this NPI, valid through September 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pain Management & Treatment Center, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Pain Management & Treatment Center, S.C. 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 Pain Management & Treatment Center, S.C. was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.