Organization Active NPI

Interventional Pain Consultants, PLLC

  • Interventional Pain Medicine Physician
  • Pikeville, KY
National Provider Identifier
1366963282
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
29929 Issued in KY
Legal business name
INTERVENTIONAL PAIN CONSULTANTS, PLLC
Practice address
515 N Bypass Rd
Pikeville, KY 41501-1331
Phone
(606) 437-4100
Fax
(606) 432-6009
NPI assigned
Jun 30, 2017
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Dr. Sai P. Gutti, MDNPI 1992805410
Title
Physician
Phone
(606) 437-4100

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 29929 KY Primary

Addresses

Primary practice location

515 N Bypass Rd
Pikeville, KY 41501-1331

Mailing address

PO Box 2158
Pikeville, KY 41502-2158
Phone (606) 437-4100

Other practice location 1

206 Ky Route 979
Harold, KY 41635-9046
Phone (606) 437-4100

Other practice location 2

52 Broadway St Ste B
Whitesburg, KY 41858-7199
Phone (606) 437-4100

Other practice location 3

104 Mill Branch Road
Paintsville, KY 41240
Phone (606) 437-4100

Other practice location 4

25730 US Highway 119 N
Belfry, KY 41514-7444
Phone (606) 437-4100

Other identifiers 1

IdentifierTypeStateIssuer
30015287580002MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170919000537 KY Part B Supplier - Clinic/Group Practice 7012281876 Receives reassigned benefits from 1 practitioner
Practice locations: Pikeville, KY

National Provider Directory

National Provider Directory

Locations

206 Ky Route 979
Harold, KY 41635
Phone (606) 437-4100

52 Broadway St
Ste B
Whitesburg, KY 41858
Phone (606) 437-4100

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1366963282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2158",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022158",
            "telephone_number": "606-437-4100",
            "fax_number": "606-432-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N BYPASS RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011331",
            "telephone_number": "606-437-4100",
            "fax_number": "606-432-6009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Ky Route 979",
            "address_purpose": "LOCATION",
            "city": "Harold",
            "state": "KY",
            "postal_code": "416359046",
            "country_code": "US",
            "telephone_number": "606-437-4100",
            "fax_number": "606-432-6009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Broadway St Ste B",
            "address_purpose": "LOCATION",
            "city": "Whitesburg",
            "state": "KY",
            "postal_code": "418587199",
            "country_code": "US",
            "telephone_number": "606-437-4100",
            "fax_number": "606-432-6009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Mill Branch Road",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "41240",
            "country_code": "US",
            "telephone_number": "606-437-4100",
            "fax_number": "606-432-6009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25730 US Highway 119 N",
            "address_purpose": "LOCATION",
            "city": "Belfry",
            "state": "KY",
            "postal_code": "415147444",
            "country_code": "US",
            "telephone_number": "606-437-4100",
            "fax_number": "606-432-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "GUTTI",
        "authorized_official_first_name": "SAI",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "606-437-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "29929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015287580002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.