NPIMap

Organization Active NPI

Centers for Pain Control Inc.

  • Pain Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1174945927
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
01063580A Issued in IN
Legal business name
CENTERS FOR PAIN CONTROL INC.
Practice address
2211 Roosevelt Rd.
Valparaiso, IN 46383
Phone
(219) 476-7246
Fax
(219) 476-1713
NPI assigned
Jan 14, 2014
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTERS FOR PAIN CONTROL INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Ujwala Puranik
Title
Administrator
Phone
(219) 476-7246

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 01063580A IN Primary
Multi-Specialty Clinic/Center 261QM1300X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2211 Roosevelt Rd.
Valparaiso, IN 46383

Mailing address

2500 Calumet Ave Ste E
Valparaiso, IN 46383-3735
Phone (219) 476-7246

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
15D2029069Centers for Pain Control2211 Roosevelt Rd, Valparaiso, IN 46383Certificate of waiverAug 30, 2027

National Provider Directory

National Provider Directory
Part of
Centers Control Inc

Locations

201 Main St
Hobart, IN 46342
Phone 2194767246 ext. 321

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1174945927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CALUMET AVE STE E",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833735",
            "telephone_number": "219-476-7246",
            "fax_number": "844-867-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 ROOSEVELT RD.",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46383",
            "telephone_number": "219-476-7246",
            "fax_number": "219-476-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR PAIN CONTROL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERS FOR PAIN CONTROL INC.",
        "enumeration_date": "2014-01-14",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "PURANIK",
        "authorized_official_first_name": "UJWALA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-476-7246"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IN",
            "license": "01063580A",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.