Active NPI
Pain Management Centers of America, PSC
- Interventional Pain Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- PAIN MANAGEMENT CENTERS OF AMERICA, PSC
- Practice address
- 6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341 - Phone
- (502) 780-6880
- Fax
- (502) 780-6911
- NPI assigned
- Oct 28, 2019
- Last updated
- Apr 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mahendra R. Sanapati, MD
- Title
- President
- Phone
- (812) 477-7246
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | NU | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU |
Addresses
Primary practice location
6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341
Mailing address
1120 Professional Blvd
Evansville, IN 47714-8000
Phone (128) 479-9500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710053770 | Medicaid | KY | |
| 710053770 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.healthfusion.com | ||
| CONNECT URL | www.healthfusion.com |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Interventional Pain Medicine Physician
- Evansville, IN
- NPI 1942378112
Member Of
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Interventional Pain Medicine Physician
- Evansville, IN
- NPI 1154325959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651276800000",
"number": "1235773789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 PROFESSIONAL BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148000",
"telephone_number": "128-479-9500",
"fax_number": "812-437-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 DUTCHMANS PKWY STE 60",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053341",
"telephone_number": "502-780-6880",
"fax_number": "502-780-6911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT CENTERS OF AMERICA, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-28",
"last_updated": "2022-04-30",
"certification_date": "2022-04-30",
"status": "A",
"authorized_official_last_name": "SANAPATI",
"authorized_official_first_name": "MAHENDRA",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-477-7246",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "710053770",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "710053770",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.healthfusion.com",
"affiliation": "N",
"address_1": "6400 Dutchmans Pkwy Ste 60",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402053341",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.healthfusion.com",
"affiliation": "N",
"address_1": "6400 Dutchmans Pkwy Ste 60",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402053341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
- Romith Paily
- Pain and Performance Solutions LLC
- Pain and Wellness Institute of Kentucky LLC
- Pain Care Surgery of Louisville, LLC (Center for Specialty Surgery of Louisville)
- Pain Control Network, PSC
- Pain Management Consultants, LLC
- Pain Management Kentucky PSC
- Pain Management Technologies Inc (PMT Medical Inc)
- Pain Relief Centers
- Virginia Aricel Paiz Gilbert, CSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.