NPIMap

Organization Active NPI

Hot Springs Interventional Pain Management PA

Doing business as Advanced Interventional Pain Management

  • Interventional Pain Medicine Physician
  • Hot Springs, AR
National Provider Identifier
1376733824
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
HOT SPRINGS INTERVENTIONAL PAIN MANAGEMENT PA
Doing business as
Advanced Interventional Pain Management
Practice address
1 Mercy LN Ste 304
Hot Springs, AR 71913
Phone
(501) 321-4772
Fax
(501) 321-3543
NPI assigned
Jul 31, 2007
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Dr. Jacob E Abraham, M.D.NPI 1184627226
Title
Provider
Phone
(501) 321-4772

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 Physician 208VP0014X NU Primary

Addresses

Primary practice location

1 Mercy LN Ste 304
Hot Springs, AR 71913

Mailing address

1 Mercy LN Ste 304
Hot Springs, AR 71913-6440
Phone (501) 321-4772

Other identifiers 1

IdentifierTypeStateIssuer
125247001MedicaidAR

Other names 1

  • Advanced Interventional Pain Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071226000515 AR Part B Supplier - Clinic/Group Practice 8527158880 Receives reassigned benefits from 26 practitioners
Practice locations: Hot Springs, AR; Texarkana, AR; Mena, AR; Little Rock, AR; Fayetteville, AR; El Dorado, AR
O20121217000110 AR DME Supplier - Physician - Interventional Pain Management 8527158880 Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory

Locations

2607 Caddo St
Ste C
Arkadelphia, AR 71923

2620 N West Ave
Ste A
El Dorado, AR 71730
Phone (870) 444-5210

516 W Faulkner St
El Dorado, AR 71730

1717 Malvern Ave
Hot Springs, AR 71901
Phone (501) 321-4292

1010 Arkansas Blvd
Texarkana, AR 71854
Phone (501) 321-4772

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1376733824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCY LN STE 304",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136440",
            "telephone_number": "501-321-4772",
            "fax_number": "501-321-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN STE 304",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71913",
            "telephone_number": "501-321-4772",
            "fax_number": "501-321-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT SPRINGS INTERVENTIONAL PAIN MANAGEMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "501-321-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125247001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Interventional Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.