Pain Institute of Central PA PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD422419 Issued in PA

Legal business name

PAIN INSTITUTE OF CENTRAL PA PC

Practice address

69 St Paul Dr Ste B
Chambersburg, PA 17201-1020

Phone

(717) 218-8800

Fax

(717) 552-2196

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Ali Yousufuddin, MDNPI 1083607840

Title

Physician

Phone

(717) 218-8800

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: draliy@draliy.medentdirect.com

Practitioners 1

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

• Ali Yousufuddin, MD

  • Pain Medicine (Anesthesiology) Physician
  • Chambersburg, PA
  • NPI 1083607840
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1255623880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ST PAUL DR STE B",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011020",
            "telephone_number": "717-218-8800",
            "fax_number": "717-552-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ST PAUL DR STE B",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011020",
            "telephone_number": "717-218-8800",
            "fax_number": "717-552-2196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Brookwood Ave",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159126",
            "country_code": "US",
            "telephone_number": "717-218-8800",
            "fax_number": "717-218-8889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN INSTITUTE OF CENTRAL PA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "YOUSUFUDDIN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "717-218-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD422419",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD422419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "MD422419",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALI TYPE 1 NPI",
            "identifier": "1083607840",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100816820",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "draliy@draliy.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR MedEnt",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "69 St Paul Dr Ste B",
            "city": "Chambersburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "172011020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Raymond Owens, M.D.
• Timothy Temitope Owolabi, MD
• Cheryl C. Oyler, OTR,CHT
• Deborah Page
• David Michael Pagnanelli Jr., D.P.M.
• John Palm, D.D.S.
• Palmer Counseling Services, LLC
• Valerie Ann Palmer, LPC, ICAADC, SAP
• Thomas Palmieri, EDD, NCC, LPB, LBS
• Melissa Pantano

• Pain Medicine (Anesthesiology) Physician in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Pain Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.