RX Pain Management Group PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

RX PAIN MANAGEMENT GROUP PC

Practice address

3405 S Halsted Street
Chicago, IL 60608-6707

Phone

(773) 247-2131

Fax

(773) 247-3110

NPI assigned

Aug 14, 2006

Last updated

Mar 11, 2016By 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

Ms. Yan Deng

Title

Manager

Phone

(773) 247-2131

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

RX Pain Management3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• RX Pain Management

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Chicago, IL
  • NPI 1700965001
  NPD tax ID
• RX Pain Management

  • General Practice Physician
  • Chicago, IL
  • NPI 1851404131
  NPD tax ID

Locations

Practitioners 5

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.

• Teng L Huang

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1639181068
  Medicare reassignment NPD
• Andriy Khlopas, NP

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1598263899
  Medicare reassignment NPD
• Renlin Xia, MD

  • Pain Medicine Physician
  • Chicago, IL
  • NPI 1790809960

  Anesthesiology

  Medicare reassignment NPD
• Tian Xia, DO

  • Pain Medicine (Anesthesiology) Physician
  • Lombard, IL
  • NPI 1467492728
  Medicare reassignment NPD
• Linda H Morris, PHYSICAL THERAPIST

  • Physical Therapist
  • Norridge, IL
  • NPI 1295061455
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1154334779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 S HALSTED STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086707",
            "telephone_number": "773-247-2131",
            "fax_number": "773-247-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 S HALSTED STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086707",
            "telephone_number": "773-247-2131",
            "fax_number": "773-247-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX PAIN MANAGEMENT GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "DENG",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-247-2131",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088691",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "036088691",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036088691",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088691",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1620404",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A. Ruzycki, PSY.D.
• Evelyn Fayisa Rwema, MD
• RX Innovations of America
• RX Pain Management
• RX Pain Management
• Rxmdlife
• Logan Mackenzie Ryals, MD
• Ryan Mather PSYD PLLC
• Ryan Mather PSYD PLLC (Summit Psychotherapy & Consultation)
• Ryan Schallon PSYD

• Anesthesiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.