Indiana Pain Centers-Evansville LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INDIANA PAIN CENTERS-EVANSVILLE LLC

Practice address

4411 Washington Ave Ste 100
Evansville, IN 47714-0805

Phone

(317) 706-7246

Fax

(317) 706-3417

NPI assigned

Jan 23, 2018

Organization subpart

No

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

Authorized official

Name

Edward Kowlowitz, MD

Title

Owner

Phone

(317) 706-7246

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Indiana Pain Centers Evansville LLCCCN 15C0001207

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

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

• Mansoor A Khan, M.D.

  • Interventional Pain Medicine Physician
  • Evansville, IN
  • NPI 1497937890

  IN

  Medicare reassignment
• Dermot J. More O'Ferrall, MD

  • Pain Medicine (Anesthesiology) Physician
  • Greenfield, WI
  • NPI 1356318067
  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1124526306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735429",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735429",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140805",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA PAIN CENTERS-EVANSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "KOWLOWITZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-706-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300060100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indiana Health and Rehabilitation Centers
• Indiana Hearing LLC
• Indiana Hearing LLC
• Indiana MRI of Evansville, LLC
• Indiana Outpatient Services, P.C.
• Indiana Spine & Pain Institute PC
• Infectious Diseases and Travel
• Kaycee G Inge, LCSW
• Lisa A Ingler, OTR
• Courtney Ingold, MT-BC

• All providers in Evansville, IN
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.