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INDIANA SPINE & PAIN INSTITUTE PC
NPI 1811401136
Pain Medicine - Interventional Pain Medicine in Evansville, IN

Active since November 22, 2017CLIA 15D2097374 · Waiver
4411 WASHINGTON AVE STE 100, EVANSVILLE, IN 47714(312) 637-9861(770) 573-9513 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 31, 2019, Mar 7, 2019, Nov 22, 2017 (3 updates tracked since 2017).

About Indiana Spine & Pain Institute Pc NPPES

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

INDIANA SPINE & PAIN INSTITUTE PC (NPI 1811401136) is a healthcare organization registered as an interventional pain medicine in Evansville, Indiana and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Mansoor A Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1811401136
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINDIANA SPINE & PAIN INSTITUTE PC
Location Address4411 WASHINGTON AVE STE 100Evansville, IN 47714-0805
Mailing Address4411 Washington Ave Ste 100Evansville, IN 47714-0805 · (812) 437-7246 · Fax (812) 402-7246
Phone(312) 637-9861
Fax(770) 573-9513
Organization SubpartNo
Authorized OfficialMansoor A KhanOwner · (812) 803-2312
Enumeration DateNovember 22, 2017
Last NPPES UpdateMay 31, 20193 updates tracked since enumeration
✔ NPI 1811401136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
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.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4411 WASHINGTON AVE STE 100, Evansville, IN 47714
Open in Google Maps ↗

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Waiver 15D2097374

Indiana Spine & Pain Institute · Jasper, IN
Active · expires Jun 14, 2027
CLIA Number15D2097374
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorMansoor A. Khan
Laboratory Phone(812) 437-7246
Laboratory LocationIndiana Spine & Pain Institute3559 Newton St, Jasper, IN 47546
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDIANA PAIN CENTERS-EVANSVILLE LLC
Clinic/Center (Ambulatory Surgical)
4411 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Vanderburgh County (317) 706-7246
MRS. JAMIE R TRUELOVE NP
Nurse Practitioner
4411 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Vanderburgh County (812) 437-7246
GREGORY MARSHALL FNP-C
Pain Medicine (Interventional Pain Medicine)
4411 WASHINGTON AVE STE 100
EVANSVILLE, IN 47714
Vanderburgh County (812) 437-7246

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 Indiana Spine & Pain Institute PC's NPI number?

The NPI number for Indiana Spine & Pain Institute PC is 1811401136. It was assigned to this organization in the NPPES registry on November 22, 2017.

Where is Indiana Spine & Pain Institute PC located?

Indiana Spine & Pain Institute PC is located at 4411 Washington Ave Ste 100, Evansville, IN 47714. The listed phone number is (312) 637-9861.

What is Indiana Spine & Pain Institute PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Indiana Spine & Pain Institute PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2097374) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Indiana Spine & Pain Institute PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Indiana Spine & Pain Institute PC 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 Indiana Spine & Pain Institute PC was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.