Organization Active NPI

Pain Care Surgery of Louisville, LLC

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
National Provider Identifier
1306503057
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PAIN CARE SURGERY OF LOUISVILLE, LLC
Doing business as
Center for Specialty Surgery of Louisville
Practice address
6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341
Phone
(502) 780-6880
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Sandford Schocket, MDNPI 1851381818
Title
Ceo
Phone
(512) 584-8404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341

Mailing address

7951 Shoal Creek Blvd Ste 300
Austin, TX 78757-7582
Phone (502) 780-6880

Other identifiers 1

IdentifierTypeStateIssuer
7100978410MedicaidKY

Other names 1

  • Center for Specialty Surgery of Louisville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221021000386 KY Part B Supplier - Ambulatory Surgical Center 8527434240 Practice locations: Louisville, KY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Pain Care Surgery of Louisville LLC Dba Center for Specialty Surgery of LouisvilleCCN 18C0001058
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2311004Pain Care Surgery of Louisville, LLC Dba6400 Dutchmans Parkway Suite 60, Louisville, KY 40205Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1306503057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 SHOAL CREEK BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577582",
            "telephone_number": "502-780-6880",
            "fax_number": "502-742-8523"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE SURGERY OF LOUISVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "SCHOCKET",
        "authorized_official_first_name": "SANDFORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-584-8404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100978410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Specialty Surgery of Louisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.