Cincinnati Pain Physicians LLC
Organization Active NPI Pain Medicine Physician · Cincinnati, OH
NPI 1457790941 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1457790941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- License
- 2199579 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Gururau Sudarshan
- Title
- MD/Ceo
- Phone
- (513) 673-9612
Practitioners 4
-
Gururau Sudarshan, MD, FRCA, FFARCSI
-
Calvin Feng, M.D.
-
Katie King, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130910000860 | OH | Part B Supplier - Clinic/Group Practice | 6608010889 |
Receives reassigned benefits from 4 practitioners Practice locations: Cincinnati, OH |
National Provider Directory
Locations
1950 45th St
Ste 630
Munster, IN 46321
Phone (219) 220-2021
7361 E Kemper Rd
Cincinnati, OH 45249
7369 E Kemper Rd
Ste A
Cincinnati, OH 45249
Phone (513) 288-4448
7361 E Kemper Rd
Ste A
Cincinnati, OH 45249
8261 Cornell Rd
Cincinnati, OH 45249
7631 E Kemper Rd
Cincinnati, OH 45249
7631 E Kemper Rd Ste a
Cincinnati, OH 45249
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician |
208VP0000X | 2199579 | OH | Yes |
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
Other providers in Cincinnati, OH
- Cincinnati Oral & Maxillofacial Surgery Assoc., Inc.
- Cincinnati Oral &Maxillofacial Surgery Assoc.,Inc.
- Cincinnati Pain Management Center, LLC
- Cincinnati Pain Management Consultants LTD
- Cincinnati Pain Physicians
- Cincinnati Pet Scan, LLC
- Cincinnati Pet Scan, LLC
- Cincinnati Pharmacy LLC
- Cincinnati Physical Therapy Inc
- Cincinnati Primary Care Associates
All providers in Cincinnati, OH · Pain Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.