Interventional Pain Management Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INTERVENTIONAL PAIN MANAGEMENT SERVICES LLC

Practice address

261 Dunn Rd
Florissant, MO 63031-7928

Phone

(314) 830-2600

Fax

(314) 830-2648

NPI assigned

Sep 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mahendra Gunapooti, MD

Title

President

Phone

(314) 830-2600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Interventional Pain Management Services LLC

  • Interventional Pain Medicine Physician
  • Florissant, MO
  • NPI 1710018247

  3779532858

  Same PAC ID

Locations

Practitioners 5

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

• Donna Baudendistel

  • Nurse Practitioner
  • Saint Louis, MO
  • NPI 1417904624
  NPD
• Jason Murray Hohman, MSN, APRN, FNP

  • Family Nurse Practitioner
  • Florissant, MO
  • NPI 1093409880
  NPD
• Priya Patel, RN, BSN, FNP

  • Family Nurse Practitioner
  • Florissant, MO
  • NPI 1073966230
  NPD
• Kiranpal Gill, PA-C

  • Physician Assistant
  • Cypress, TX
  • NPI 1053599852
  NPD
• Staci R Young, MD

  • Pediatrics Physician
  • Glen Carbon, IL
  • NPI 1053406694
  NPD (past)

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1245667914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620250650",
            "telephone_number": "314-830-2600",
            "fax_number": "314-830-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 DUNN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317928",
            "telephone_number": "314-830-2600",
            "fax_number": "314-830-2648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2421 Corporate Ctr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404195",
            "country_code": "US",
            "telephone_number": "314-830-2600",
            "fax_number": "314-830-2648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "GUNAPOOTI",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-830-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Florissant, MO
• Providers in Florissant, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.