Organization Active NPI

Cincinnati Pain Physicians LLC

  • Pain Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1457790941
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
2199579 Issued in OH
Legal business name
CINCINNATI PAIN PHYSICIANS LLC
Practice address
8261 Cornell Rd
# 630
Cincinnati, OH 45249-2278
Phone
(513) 891-0022
Fax
(513) 672-0830
NPI assigned
Jun 18, 2013
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Dr. Gururau SudarshanNPI 1326046871
Title
MD/Ceo
Phone
(513) 673-9612

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
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 2199579 OH Primary

Addresses

Primary practice location

8261 Cornell Rd
# 630
Cincinnati, OH 45249-2278

Mailing address

8261 Cornell Rd
# 630
Cincinnati, OH 45249-2278
Phone (513) 891-0022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130910000860 OH Part B Supplier - Clinic/Group Practice 6608010889 Receives reassigned benefits from 4 practitioners
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

1950 45th St
Ste 630
Munster, IN 46321
Phone (219) 220-2021

7361 E Kemper Rd
Cincinnati, OH 45249

7361 E Kemper Rd
Ste A
Cincinnati, OH 45249

7369 E Kemper Rd
Ste A
Cincinnati, OH 45249
Phone (513) 288-4448

7631 E Kemper Rd
Cincinnati, OH 45249

7631 E Kemper Rd Ste a
Cincinnati, OH 45249

8261 Cornell Rd
Cincinnati, OH 45249

Practitioners & affiliated clinicians

Practitioners 4

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": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1457790941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8261 CORNELL RD",
            "address_2": "# 630",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492278",
            "telephone_number": "513-891-0022",
            "fax_number": "513-672-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 CORNELL RD",
            "address_2": "# 630",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492278",
            "telephone_number": "513-891-0022",
            "fax_number": "513-672-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI PAIN PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "SUDARSHAN",
        "authorized_official_first_name": "GURURAU",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "513-673-9612",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "2199579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.