Organization Active NPI

Omega Pain Management, PC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Knoxville, TN
National Provider Identifier
1003233743
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
OMEGA PAIN MANAGEMENT, PC
Practice address
6348 Lonas Spring Dr
Knoxville, TN 37909-2719
Phone
(865) 337-5137
Fax
(888) 839-6922
NPI assigned
Mar 19, 2014
Last updated
Mar 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Igor Smelyansky, MDNPI 1295818409
Title
Owner
Phone
(917) 523-4576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X TN Primary

Addresses

Primary practice location

6348 Lonas Spring Dr
Knoxville, TN 37909-2719

Mailing address

PO Box 32965
Knoxville, TN 37930-2965
Phone (865) 337-5137

Other identifiers 1

IdentifierTypeStateIssuer
Q007280MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140618000420 TN Part B Supplier - Clinic/Group Practice 0749404531 Receives reassigned benefits from 6 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1003233743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32965",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302965",
            "telephone_number": "865-337-5137",
            "fax_number": "865-312-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6348 LONAS SPRING DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092719",
            "telephone_number": "865-337-5137",
            "fax_number": "888-839-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA PAIN MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "SMELYANSKY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-523-4576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007280",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.