Interventional Spine and Pain, P.C.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

INTERVENTIONAL SPINE AND PAIN, P.C.

Practice address

700 E Beardsley Ave Ste 4B
Elkhart, IN 46514-3303

Phone

(574) 304-1519

Fax

(574) 350-2441

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jasveer Singh Grewal, M.D.NPI 1083735765

Title

President

Phone

(574) 304-1519

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4062/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Jasveer Grewal, MD

  • Pain Medicine (Anesthesiology) Physician
  • Elkhart, IN
  • NPI 1083735765
  Medicare reassignment Authorized official
• Preeya Patel Grewal, MD

  • Neurology Physician
  • Elkhart, IN
  • NPI 1245357375
  Medicare reassignment NPD
• Benjamin Graber Lehman, DPM

  • Foot Surgery Podiatrist
  • Elkhart, IN
  • NPI 1184601429
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1467643304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E BEARDSLEY AVE STE 4B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143303",
            "telephone_number": "574-304-1519",
            "fax_number": "574-350-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BEARDSLEY AVE STE 4B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143303",
            "telephone_number": "574-304-1519",
            "fax_number": "574-350-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SPINE AND PAIN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "JASVEER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-304-1519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200866150A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "700 E Beardsley Ave Ste 4B",
            "city": "Elkhart",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465143303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Indiana Health & Rehabilitation Centers
• Indiana Physical Therapy, Inc.
• Indiana Vision Clinic, Inc
• Enrique Eduardo Infante, M.D.
• Interventional Pain Specialist PC
• Sheri Irons, MSW
• J E Steele DDS PC
• Darneysia Jackson
• James Jackson, D.O.
• Megan Michelle Jackson, OT

• Pain Medicine (Anesthesiology) Physician in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Pain Medicine (Anesthesiology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.