NPIMap

Organization Active NPI

Ajit V Pai MD

  • Interventional Pain Medicine Physician
  • Mishawaka, IN
National Provider Identifier
1376578310
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
01028758A Issued in IN
Legal business name
AJIT V PAI MD
Practice address
3212 Hickory Rd
Suite B
Mishawaka, IN 46545-8862
Phone
(574) 251-0498
Fax
(574) 251-0068
NPI assigned
Jul 11, 2006
Last updated
Aug 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Ajit V Pai, MDNPI 1740261296
Title
President
Phone
(574) 251-0498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01028758A IN
Interventional Pain Medicine Physician 208VP0014X 01028758A IN Primary

Addresses

Primary practice location

3212 Hickory Rd
Suite B
Mishawaka, IN 46545-8862

Mailing address

PO Box 126
Granger, IN 46530-0126
Phone (574) 968-2128

Other names 1

  • Pain Management Group Other name

National Provider Directory

National Provider Directory

Locations

244 Waterfall Dr
Elkhart, IN 46516
Phone (574) 389-7734

410 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 425-6390

3212 Hickory Rd
Mishawaka, IN 46545
Phone (574) 251-0498

4455 Edison Lakes Pkwy
#201
Mishawaka, IN 46545
Phone (574) 251-0498

Practitioners & affiliated clinicians

Practitioners 6

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1376578310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465300126",
            "telephone_number": "574-968-2128",
            "fax_number": "574-807-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 HICKORY RD",
            "address_2": "SUITE B",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458862",
            "telephone_number": "574-251-0498",
            "fax_number": "574-251-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJIT V PAI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "PAI",
        "authorized_official_first_name": "AJIT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-251-0498",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01028758A",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01028758A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Management Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.