Organization Active NPI

Regenerative Pain & Spine of Indiana PC

  • Pain Medicine (Anesthesiology) Physician
  • Merrillville, IN
National Provider Identifier
1134093214
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
REGENERATIVE PAIN & SPINE OF INDIANA PC
Practice address
7725 Broadway
Merrillville, IN 46410-4731
Phone
(312) 300-3882
NPI assigned
Oct 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Shoeb Mohiuddin, MD
Title
Owner
Phone
(312) 300-3882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

7725 Broadway
Merrillville, IN 46410-4731

Mailing address

7725 Broadway
Merrillville, IN 46410-4731

National Provider Directory

National Provider Directory

Locations

7725 Broadway
Merrillville, IN 46410
Phone (219) 736-1000

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1134093214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464104731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464104731",
            "telephone_number": "312-300-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE PAIN & SPINE OF INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "MOHIUDDIN",
        "authorized_official_first_name": "SHOEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-300-3882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.