Organization Active NPI

Midwest Pain Centers, Inc.

  • Interventional Pain Medicine Physician
  • Elk Grove Village, IL
National Provider Identifier
1033427950
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
036115091 Issued in IL
Legal business name
MIDWEST PAIN CENTERS, INC.
Practice address
800 Biesterfield Rd
Ste. 302
Elk Grove Village, IL 60007-3361
Phone
(847) 701-5040
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Jay Joshi, M.D.
Title
Medical Director
Phone
(847) 701-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 036115091 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd
Ste. 302
Elk Grove Village, IL 60007-3361

Mailing address

21720 W Long Grove Rd
Ste. C200
Deer Park, IL 60010-3732

Other identifiers 5

IdentifierTypeStateIssuer
K28134OtherILMEDICARE ID-LOCALITY 15 PIN
131846500OtherILDEPARTMENT OF LABOR
1619628OtherILBCBS PROVIDER
K28133OtherILMEDICARE ID-LOCALITY 16 PIN
P00349345OtherILMEDICARE ID-RAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

21720 W Long Grove Rd
Ste C200
Deer Park, IL 60010
Phone (847) 701-3250

800 Biesterfield Rd
Ste 302
Elk Grove Vlg, IL 60007
Phone (847) 472-1992

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHAEDD

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1033427950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21720 W LONG GROVE RD",
            "address_2": "STE. C200",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600103732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "STE. 302",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-701-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PAIN CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-701-5040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036115091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-LOCALITY 15 PIN",
            "identifier": "K28134",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "131846500",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "1619628",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-LOCALITY 16 PIN",
            "identifier": "K28133",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-RAILROAD MEDICARE",
            "identifier": "P00349345",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.