American Pain Management and Rehab LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

2000161127 Issued in MO

Legal business name

AMERICAN PAIN MANAGEMENT AND REHAB LLC

Practice address

7491 Big Bend Blvd
Webster Groves, MO 63119-2101

Phone

(314) 961-3038

NPI assigned

Oct 30, 2009

Last updated

Nov 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hafiz Khattak, MDNPI 1265419683

Title

Owner

Phone

(314) 961-3038

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 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

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.

• Hafiz Khattak, M.D.

  • Pain Medicine Physician
  • Webster Groves, MO
  • NPI 1265419683

  IL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1285960963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153 DEPT 30703",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352879256",
            "telephone_number": "314-961-3038",
            "fax_number": "314-961-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7491 BIG BEND BLVD",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192101",
            "telephone_number": "314-961-3038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Park Pl Ste A",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622262929",
            "country_code": "US",
            "telephone_number": "618-398-6266",
            "fax_number": "618-398-6293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN PAIN MANAGEMENT AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "KHATTAK",
        "authorized_official_first_name": "HAFIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-961-3038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MO",
            "license": "2000161127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• Interventional Pain Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.