Organization Active NPI

Painmed Centers, PC

  • Physical Medicine & Rehabilitation Physician
  • Plainfield, IL
National Provider Identifier
1053664359
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036099891 Issued in IL
Legal business name
PAINMED CENTERS, PC
Practice address
24039 W Lockport St
Plainfield, IL 60544-1652
Phone
(815) 436-6600
Fax
(815) 436-8367
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Dr. Richa Vohra, M.D.NPI 1548318298
Title
President
Phone
(815) 436-3600

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 036099891 IL Primary

Addresses

Primary practice location

24039 W Lockport St
Plainfield, IL 60544-1652

Mailing address

PO Box 678
Plainfield, IL 60544-0678
Phone (815) 436-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130627000730 IL Part B Supplier - Clinic/Group Practice 0446490254 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL; Plainfield, IL

National Provider Directory

National Provider Directory
Tax ID family
Painmed Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1053664359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605440678",
            "telephone_number": "815-436-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24039 W LOCKPORT ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441652",
            "telephone_number": "815-436-6600",
            "fax_number": "815-436-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINMED CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "VOHRA",
        "authorized_official_first_name": "RICHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-436-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036099891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.