Individual provider Active NPI

Mahendra R. Sanapati, M.D.

  • Interventional Pain Medicine Physician
  • Evansville, IN
National Provider Identifier
1154325959
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
01055762A Issued in IN
Practice address
1101 Professional Blvd
Ste 100
Evansville, IN 47714-8016
Phone
(812) 477-7246
Fax
(812) 477-7240
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Pain Management Centers of America, PSC 25 clinicians
Physiotherapy Associates Inc 1,432 clinicians

Practice addresses (Care Compare)

1101 Professional Blvd
Suite 100
Evansville, IN 47714-8018
Phone (812) 477-7246

67 Lakeview Dr
Paducah, KY 42001-5619
Phone 27055483734428

8001 Centerview Pkwy
Suite 215
Cordova, TN 38018-4276
Phone (901) 249-5905

8059 Stage Hills Blvd
Bartlett, TN 38133-4071
Phone (901) 383-4515

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051
  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, TN, MS4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 4

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20031124000773 IN Practitioner - Interventional Pain Management 3779487491 Reassigns benefits to 1 organization
I20040615000434 KY Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3779487491 Reassigns benefits to 2 organizations
I20200130003088 TN Practitioner - Pain ManagementPractitioner - Anesthesiology 3779487491 Reassigns benefits to 2 organizations
I20260131000034 MS Practitioner - Interventional Pain Management 3779487491 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01055762AINMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Centers of America, PSC Interventional Pain Medicine CurrentSince Sep 28, 2018 Accepting new patients
Advanced Pain Care Clinic PSC Interventional Pain Medicine PastSince Jan 1, 1990 Accepting new patients
Advanced Pain Care Clinic PastSince Jan 1, 1990 Accepting new patients
Tri-State Advanced Pain Management PLLC Interventional Pain Medicine Past Accepting new patients
PRC Associates LLC Past Accepting new patients
Advanced Pain Care Clinic PastSince Jan 1, 1990 Accepting new patients
Pain Management Centers of America, PSC Interventional Pain Medicine Past Accepting new patients
Advanced Pain Care Clinic PSC Interventional Pain Medicine PastSince Jan 1, 1990 Accepting new patients
Advanced Pain Care Clinic Interventional Pain Medicine PastSince Jan 1, 1990 Accepting new patients
Advanced Pain Care Clinic PSC Interventional Pain Medicine PastSince Jan 1, 1990 Accepting new patients
Advanced Pain Care Clinic Interventional Pain Medicine PastSince Jan 1, 1990 Accepting new patients
Major Hospital Interventional Pain Medicine Past Accepting new patients
Tri-State Advanced Pain Management Interventional Pain Medicine Past Accepting new patients
Advanced Ambulatory Surgery Center, LLC PastSince Apr 30, 2003 Accepting new patients
Advanced Pain Care Clinic PSC Interventional Pain Medicine PastSince Jan 1, 1990 Accepting new patients
Advanced Pain Care Clinic PSC Interventional Pain Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

1101 Professional Blvd
Ste 100
Evansville, IN 47714
Phone (812) 573-1207

2330 Lynch Rd
Ste 200
Evansville, IN 47711
Phone (812) 485-6900

1101 Professional Blvd
Evansville, IN 47714
Phone 81247772461041

2330 Lynch Rd
Evansville, IN 47711
Phone (812) 485-6900

1101 Professional Blvd
Ste 104
Evansville, IN 47714
Phone (502) 523-1295

2201 Green Valley Rd
New Albany, IN 47150
Phone (812) 949-1223

1425 State St
Ste 210
New Albany, IN 47150
Phone (812) 949-1002

112 Keeton Dr
Hopkinsville, KY 42240
Phone (270) 554-8373

6400 Dutchmans Pkwy
Ste 60
Louisville, KY 40205
Phone (502) 791-8700

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

200 Clinic Dr
Fl 6
Madisonville, KY 42431
Phone (270) 554-8373

3332 Villa Pt
Ste 104
Owensboro, KY 42303
Phone (270) 594-4892

2200 E Parrish Ave
Ste LL3
Owensboro, KY 42303

67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373

2831 Lone Oak Rd
Paducah, KY 42003
Phone (270) 554-8373

6426 Highway 51 N
Ste B
Horn Lake, MS 38637
Phone (662) 440-7246

8001 Centerview Pkwy
Ste 215
Cordova, TN 38018
Phone (901) 249-5905

8000 Centerview Pkwy
Ste 100
Cordova, TN 38018
Phone (901) 249-5905

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mahendras@pmcoap-in.direct.office.nextgen.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 0000059431 TN
Interventional Pain Medicine Physician 208VP0014X 37465 KY
Interventional Pain Medicine Physician 208VP0014X 01055762A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1101 Professional Blvd
Ste 100
Evansville, IN 47714-8016

Mailing address

1101 Professional Blvd Ste 100
Evansville, IN 47714-8018
Phone (812) 477-7246

Other practice location 1

6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205
Phone (502) 780-6880

Other practice location 2

112 Keeton Dr
Hopkinsville, KY 42240
Phone (270) 881-4150

Other practice location 3

1425 State St Ste 210
New Albany, IN 47150
Phone (812) 949-1223

Other practice location 4

2330 Lynch Rd
Evansville, IN 47711-2998
Phone (812) 477-7246

Other practice location 5

8000 Centerview Pkwy Ste 100
Cordova, TN 38018
Phone (901) 249-5905

Other practice location 6

2201 Green Valley Rd
New Albany, IN 47150
Phone (812) 949-1223

Other practice location 7

200 Clinic Dr Fl 6
Madisonville, KY 42431-1661
Phone (812) 477-7246

Other practice location 8

1813 Willow St # 3B
Vincennes, IN 47591-4276
Phone (812) 477-7246

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
200386560MedicaidIN
Q056013MedicaidTN
64053945MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2021.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1154325959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL BLVD STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148018",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL BLVD",
            "address_2": "STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148016",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Dutchmans Pkwy Ste 60",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40205",
            "country_code": "US",
            "telephone_number": "502-780-6880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Keeton Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "42240",
            "country_code": "US",
            "telephone_number": "270-881-4150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 State St Ste 210",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "47150",
            "country_code": "US",
            "telephone_number": "812-949-1223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2330 Lynch Rd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477112998",
            "country_code": "US",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8000 Centerview Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "38018",
            "country_code": "US",
            "telephone_number": "901-249-5905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Green Valley Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "47150",
            "country_code": "US",
            "telephone_number": "812-949-1223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Clinic Dr Fl 6",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424311661",
            "country_code": "US",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1813 Willow St # 3B",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475914276",
            "country_code": "US",
            "telephone_number": "812-477-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANAPATI",
        "first_name": "MAHENDRA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "0000059431",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "37465",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01055762A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200386560",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q056013",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64053945",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.