ILLINOIS SPINE AND PAIN CENTER SC
NPI 1801185616
Anesthesiology - Pain Medicine in Champaign, IL

Active since April 01, 2011
1002 INTERSTATE DR, OLYMPIAN SURGICAL SUITES, CHAMPAIGN, IL 61822(217) 974-9366(800) 801-3765 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Illinois Spine And Pain Center Sc NPPES

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

ILLINOIS SPINE AND PAIN CENTER SC (NPI 1801185616) is a healthcare organization registered as a pain medicine in Champaign, Illinois and active in the NPI registry since April 2011. The organization lists Brian Ogan, Physician / Owner, as its authorized official.

NPPES Registry Identity

NPI1801185616
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameILLINOIS SPINE AND PAIN CENTER SC
Location Address1002 INTERSTATE DR, OLYMPIAN SURGICAL SUITESChampaign, IL 61822-1465
Mailing AddressPo Box 736909Chicago, IL 60673-1424 · (217) 974-9366 · Fax (800) 801-3765
Fax(800) 801-3765
Organization SubpartNo
Authorized OfficialBrian OganPhysician / Owner · (217) 347-2332
Enumeration DateApril 1, 2011
Last NPPES UpdateMay 23, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1801185616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
1002 INTERSTATE DR, Champaign, IL 61822

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illinois Spine And Pain Center Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Illinois Spine And Pain Center Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Anesthesiology
NPI 1528077948
1002 INTERSTATE DR STE 100
Champaign, IL 61822
(217) 974-9366
✔ PECOSSame address
Nurse Practitioner
NPI 1093118127
2203 EASTLAND DR
Bloomington, IL 61704
(800) 444-6110
✔ PECOS43 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 Illinois Spine And Pain Center Sc's NPI number?

The NPI number for Illinois Spine And Pain Center Sc is 1801185616. It was assigned to this organization in the NPPES registry on April 1, 2011.

Where is Illinois Spine And Pain Center Sc located?

Illinois Spine And Pain Center Sc is located at 1002 Interstate Dr Olympian Surgical Suites, Champaign, IL 61822. The listed phone number is (217) 974-9366.

What is Illinois Spine And Pain Center Sc's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Illinois Spine And Pain Center Sc enrolled in Medicare?

Yes. Illinois Spine And Pain Center Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Illinois Spine And Pain Center Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Illinois Spine And Pain Center Sc, in Anesthesiology and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Illinois Spine And Pain Center Sc was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.