Organization Active NPI

Pain Management & Surgi-Group LLC

  • Pain Medicine (Anesthesiology) Physician
  • Terrytown, LA
National Provider Identifier
1215402953
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PAIN MANAGEMENT & SURGI-GROUP LLC
Practice address
120 Terry Pkwy
Terrytown, LA 70056-2523
Phone
(504) 362-7246
Fax
(504) 662-3785
NPI assigned
Oct 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Narinder Mohan Gupta, MDNPI 1306991864
Title
Director
Phone
(504) 362-7246

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

Addresses

Primary practice location

120 Terry Pkwy
Terrytown, LA 70056-2523

Mailing address

120 Terry Pkwy
Terrytown, LA 70056-2523
Phone (504) 362-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181113002448 LA Part B Supplier - Clinic/Group Practice 6608120555 Receives reassigned benefits from 1 practitioner
Practice locations: Terrytown, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1215402953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TERRY PKWY",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700562523",
            "telephone_number": "504-362-7246",
            "fax_number": "504-662-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TERRY PKWY",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700562523",
            "telephone_number": "504-362-7246",
            "fax_number": "504-662-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT & SURGI-GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NARINDER",
        "authorized_official_middle_name": "MOHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-362-7246",
        "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 Terrytown, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.