PAIN MANAGEMENT CENTERS OF AMERICA, PSC
NPI 1891267688
Pain Medicine - Interventional Pain Medicine in Marion, IL
- Organization
- Pain Medicine
- Interventional Pain Medicine
- CLIA Number: 14D1030530
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-07-2026
About PAIN MANAGEMENT CENTERS OF AMERICA, PSC
This page provides the complete NPI Profile along with additional information for Pain Management Centers Of America, Psc, a provider established in Marion, Illinois operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1891267688 assigned on December 2018. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Pain Management Centers Of America, Psc 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 Mahendra R. Sanapati Md (President)
- NPI
- 1891267688 Verify this NPI
- Provider Name
- PAIN MANAGEMENT CENTERS OF AMERICA, PSC
- Entity Type
- Organization
- Location Address
- 108 AIRWAY DR MARION, IL 62959
- Location Phone
- (618) 997-7820
- Location Fax
- (270) 554-8987
- Mailing Address
- 1101 PROFESSIONAL BLVD STE 100 EVANSVILLE, IN 47714
- Mailing Phone
- (812) 477-7246
- Mailing Fax
- (812) 477-7240
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2018
- Last Update Date
- 04-30-2022
- Code Navigator
Location Map
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
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 2 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 3 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4082761171 | MEDICAID (05) | IL |
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
- 14D1030530
- Facility Type
- Physician Office
- Certificate Effective Date
- September 08, 2024
- Certificate Expiration Date
- September 07, 2026
- Laboratory Director
- LAXMAIAH MANCHIKANTI, M D
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pain Management Centers Of America, Psc 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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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891267688, enumerated as an "organization" on December 18, 2018.
The provider is located at 108 AIRWAY DR MARION, IL 62959 and the phone number is (618) 997-7820.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
