Organization Active NPI

Midsouth Interventional Pain Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Germantown, TN
National Provider Identifier
1164734232
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MIDSOUTH INTERVENTIONAL PAIN INSTITUTE, LLC
Practice address
1365 W Brierbrook Rd
Germantown, TN 38138-2208
Phone
(901) 531-8549
Fax
(901) 271-9099
NPI assigned
Jul 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Michael Steuer, M.D.NPI 1659377257
Title
President/Owner
Phone
(901) 624-6517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1365 W Brierbrook Rd
Germantown, TN 38138-2208

Mailing address

1365 W Brierbrook Rd
Germantown, TN 38138-2208
Phone (901) 531-8549

Other identifiers 2

IdentifierTypeStateIssuer
212OtherTNPAIN CLINIC REGISTRATION--TN DEPT OF HEALTH
1522535MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110104000923 TN Part B Supplier - Ambulatory Surgical Center 4880883024 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Germantown, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Midsouth Interventional Pain Institute LLCCCN 44C0001176
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2009836Midsouth Interventional Pain Institute, LLC1365 West Brierbrook Rd, Germantown, TN 38138Certificate of waiverAug 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Midsouth Interventional Pain Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2016 Greystone Sq
Jackson, TN 38305
Phone (731) 664-1773

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1164734232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-531-8549",
            "fax_number": "901-271-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-531-8549",
            "fax_number": "901-271-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH INTERVENTIONAL PAIN INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "STEUER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "901-624-6517",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAIN CLINIC REGISTRATION--TN DEPT OF HEALTH",
            "identifier": "212",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522535",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.