Advance Pain & Anesthesia Consultants, PC
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Mishawaka, IN
NPI 1124702287 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1124702287
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC
- Practice address
- 3212 Hickory Rd Ste B
Mishawaka, IN 46545-8863 - Phone
- (574) 251-0498
- Fax
- (574) 251-0068
- NPI assigned
- Jun 9, 2023
- Organization subpart
- No
Authorized official
- Name
- Sheel Patel, MD
- Title
- Cmo
- Phone
- (219) 575-7578
Other NPIs with the same Medicare PAC ID 3
Member organizations 2
Practitioners 10
-
Mikhail M Galperin, M.D.
-
Kathryn Howell, FNP-C
-
Shaan Khan, M.D.
-
Sheel A Patel, M.D.
-
Monish Merchant, M.D.
-
Anil J Patel, M.D.
-
Peter Joseph Pollachek, A.P.N.
-
Jessica Tove Rice, APRN
-
Vikram Krishan Sobti, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250508000251 | IN | DME Supplier - Multi-Specialty - Physician | 5294628046 | Practice locations: Mishawaka, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | Yes | ||
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
3212 Hickory Rd Ste B
Mishawaka, IN 46545-8863
Mailing address
11456 S. Broadway
Crown Point, IN 46307-7106
Phone (219) 488-0154
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All providers in Mishawaka, IN · Pain Medicine (Anesthesiology) Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.