Advance Pain & Anesthesia Consultants, PC

Organization Active NPI Pain Medicine (Anesthesiology) Physician · La Porte, IN

NPI 1457035511 · NPPES record last updated Jan 27, 2025

Key facts

NPI
1457035511
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine (Anesthesiology) Physician 207LP2900X
Legal business name
ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC
Practice address
500 Legacy PLZ W
La Porte, IN 46350-5254
Phone
(219) 575-7578
Fax
(219) 575-7186
NPI assigned
Jun 9, 2023
Organization subpart
No

Authorized official

Name
Sheel Y. Patel, MD
Title
Cmo
Phone
(574) 251-0498

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250508000509 IN DME Supplier - Multi-Specialty - Physician 5294628046 Practice locations: La Porte, IN

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207LP2900X Yes
Interventional Pain Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208VP0014X
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

500 Legacy PLZ W
La Porte, IN 46350-5254

Mailing address

11456 S. Broadway
Crown Point, IN 46307-7106
Phone (219) 488-0154

Other providers in La Porte, IN

All providers in La Porte, IN · Pain Medicine (Anesthesiology) Physician in Indiana

Sources for this page

Verify at the official NPI Registry.