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EASTERN PAIN MEDICINE PC
NPI 1831475896
Anesthesiology - Pain Medicine in Fishkill, NY

Active since October 21, 2011CLIA 33D2083303 · Waiver
1003 MAIN ST, FISHKILL, NY 12524(845) 471-0013(845) 613-2493 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 25, 2020, Mar 21, 2017 (2 updates tracked since 2017).

About Eastern Pain Medicine Pc NPPES

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

EASTERN PAIN MEDICINE PC (NPI 1831475896) is a healthcare organization registered as a pain medicine in Fishkill, New York and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through September 2, 2026 and lists Vimala Upadhyayula, Manager, as its authorized official.

NPPES Registry Identity

NPI1831475896
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameEASTERN PAIN MEDICINE PC
Location Address1003 MAIN STFishkill, NY 12524-1786
Mailing Address1003 Main StFishkill, NY 12524-1786 · (845) 471-0013 · Fax (845) 613-2493
Phone(845) 471-0013
Fax(845) 613-2493
Organization SubpartNo
Authorized OfficialVimala UpadhyayulaManager · (845) 471-0014
Enumeration DateOctober 21, 2011
Last NPPES UpdateMarch 25, 20202 updates tracked since enumeration
NPPES CertifiedMarch 25, 2020
✔ NPI 1831475896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in NY · 225874
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.
1003 MAIN ST, Fishkill, NY 12524
Open in Google Maps ↗

Other Identifiers 1

Medicaid03482024NY

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

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 33D2083303

Eastern Pain Medicine PC · Fishkill, NY
Active · expires Sep 2, 2026
CLIA Number33D2083303
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorDr. Nagendra P. Upadhyayula
Laboratory Phone(845) 471-0013
Laboratory LocationEastern Pain Medicine PC1003 Main Street, Fishkill, NY 12524
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

NAGENDRA PRASAD UPADHYAYULA MD
Anesthesiology (Pain Medicine)
1003 MAIN ST
FISHKILL, NY 12524
Dutchess County (845) 471-0013

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 Eastern Pain Medicine PC's NPI number?

The NPI number for Eastern Pain Medicine PC is 1831475896. It was assigned to this organization in the NPPES registry on October 21, 2011.

Where is Eastern Pain Medicine PC located?

Eastern Pain Medicine PC is located at 1003 Main St, Fishkill, NY 12524. The listed phone number is (845) 471-0013.

What is Eastern Pain Medicine PC's specialty?

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

Does Eastern Pain Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2083303) is associated with this NPI, valid through September 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastern Pain Medicine PC was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.