Scottsdale Pain Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SCOTTSDALE PAIN CENTER LLC

Practice address

7010 E Chauncey LN Ste 215
Phoenix, AZ 85054-3117

Phone

(480) 314-2288

Fax

(480) 314-1113

NPI assigned

Aug 25, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sham Vengurlekar, MDNPI 1366401721

Title

Managing Member

Phone

(480) 314-2288

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

CLIA laboratory certificates

Locations

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.

• Sham M Vengurlekar, MD

  • Specialist
  • Phoenix, AZ
  • NPI 1366401721
  Authorized official Same address or phone

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1093434748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 E CHAUNCEY LN STE 215",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543117",
            "telephone_number": "480-314-2288",
            "fax_number": "480-314-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 E CHAUNCEY LN STE 215",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543117",
            "telephone_number": "480-314-2288",
            "fax_number": "480-314-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "VENGURLEKAR",
        "authorized_official_first_name": "SHAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-314-2288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "liaison@azpainmd.com",
            "affiliation": "N",
            "address_1": "7010 E Chauncey Ln Ste 215",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850543117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Scottsdale Housecall Physicians, LLC
• Scottsdale Internal Medicine PLLC
• Scottsdale Kidney Center LLC
• Scottsdale Medical Innovations, LLC
• Scottsdale Mobile C Arm Services, LLC
• Scottsdale Pain-X PLLC
• Scottsdale Pediatrics and Pediatric Nephrology, PLLC (Agave Pediatrics)
• Scottsdale Perinatal Associates LLC (Amomi Pregnancy Wellness - Spa)
• Scottsdale Spine and Joint, LLC
• Scottsdale Surgical Assistants Inc

• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.