Kentuckiana Pain Specialist Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KENTUCKIANA PAIN SPECIALIST AMBULATORY SURGERY CENTER

Practice address

3710 Chamberlain LN Ste B
Louisville, KY 40241-2002

Phone

(502) 995-4004

Fax

(502) 933-5559

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ajith Nair, MDNPI 1073515227

Title

Medical Director

Phone

(502) 995-4004

Specialties & licenses 3

Addresses

Other names 1

• KPS Ambulatory Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Practitioners 1

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

• Ajith Nair, MD

  • Specialist
  • Louisville, KY
  • NPI 1073515227

  KY

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1083124366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24321",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402240321",
            "telephone_number": "502-995-4004",
            "fax_number": "502-933-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 CHAMBERLAIN LN STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412002",
            "telephone_number": "502-995-4004",
            "fax_number": "502-933-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA PAIN SPECIALIST AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "AJITH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "502-995-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "KY36217",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KPS Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kentuckiana Geriatric and Palliative Services PLLC
• Kentuckiana Medical Distributors, LLC
• Kentuckiana Mental Health Associates
• Kentuckiana Mobility Scooter Rental
• Kentuckiana Oral & Maxillofacial Surgery Assoc PSC
• Kentuckiana Pain Specialists PSC
• Kentuckiana Pain Specialists PSC
• Kentuckiana Perinatology PSC
• Kentuckiana Perinatology, PSC
• Kentuckiana Psychological Associates PLLC

• All providers in Louisville, KY
• Ambulatory Surgical Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.