NPIMap

Organization Active NPI

Premier Pain Specialists LLC

  • Pain Medicine (Anesthesiology) Physician
  • Schaumburg, IL
National Provider Identifier
1255506697
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036120219 Issued in IL
Legal business name
PREMIER PAIN SPECIALISTS LLC
Practice address
1365 Wiley Road
Suite 153
Schaumburg, IL 60173-4357
Phone
(847) 519-4701
Fax
(847) 519-4707
NPI assigned
Apr 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Dr. Arpan J. Patel, MD
Title
Administrator
Phone
(847) 519-4701

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X 036120219 IL Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X

Addresses

Primary practice location

1365 Wiley Road
Suite 153
Schaumburg, IL 60173-4357

Mailing address

1365 Wiley Road
Suite 153
Schaumburg, IL 60173-4357
Phone (847) 519-4701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081001000574 IL Part B Supplier - Clinic/Group Practice 4082782230 Receives reassigned benefits from 9 practitioners
Practice locations: Elk Grove Village, IL; Schaumburg, IL; Downers Grove, IL; Berwyn, IL; Chicago, IL
O20120504000481 IL DME Supplier - Physician - Interventional Pain Management 4082782230 Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

6920 Ogden Ave
Unit C
Berwyn, IL 60402

6920 Ogden Ave
Ste C
Berwyn, IL 60402

420 N Schmidt Rd
Ste 125
Bolingbrook, IL 60440
Phone (630) 312-4500

1 E Erie St
Ste 300
Chicago, IL 60611
Phone (312) 372-9355

2447 Momentum Pl
Chicago, IL 60689

2447 Momentum Pl 5325
Chicago, IL 60689

233 E Erie St
Ste 310
Chicago, IL 60611

3800 Highland Ave
Ste 102
Downers Grove, IL 60515
Phone (630) 810-9966

1300 Higgins Rd
Ste 200
Park Ridge, IL 60068
Phone (773) 321-2612

1300 Higgins Rd
Ste 202
Park Ridge, IL 60068

1365 Wiley Rd
Schaumburg, IL 60173

521 Green Bay Rd
Wilmette, IL 60091
Phone (847) 724-4864

Practitioners & affiliated clinicians

Practitioners 12

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": "1209254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1255506697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 WILEY ROAD",
            "address_2": "SUITE 153",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734357",
            "telephone_number": "847-519-4701",
            "fax_number": "847-519-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WILEY ROAD",
            "address_2": "SUITE 153",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734357",
            "telephone_number": "847-519-4701",
            "fax_number": "847-519-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-27",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ARPAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-519-4701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036120219",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.