NPIMap

Organization Active NPI

Premier Pain Specialists LLC

  • Medical Physician Assistant
  • Schaumburg, IL
National Provider Identifier
1083087696
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085005650 Issued in IL
Legal business name
PREMIER PAIN SPECIALISTS LLC
Practice address
1365 Wiley Rd
Suite 153
Schaumburg, IL 60173-4382
Phone
(847) 519-4701
NPI assigned
Nov 4, 2015
Last updated
Nov 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Amish Patel, M.D.NPI 1659524213
Title
Owner
Phone
(847) 519-4701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 085005650 IL Primary

Addresses

Primary practice location

1365 Wiley Rd
Suite 153
Schaumburg, IL 60173-4382

Mailing address

1365 Wiley Rd
Suite 153
Schaumburg, IL 60173-4382

National Provider Directory

National Provider Directory
Tax ID family
Premier Pain Specialists LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1083087696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 WILEY RD",
            "address_2": "SUITE 153",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WILEY RD",
            "address_2": "SUITE 153",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734382",
            "telephone_number": "847-519-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-519-4701",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085005650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.