Organization Active NPI

Shadeland Anesthesia & Pain Associates Inc.

Doing business as Center for Pain Management

  • Interventional Pain Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1477589000
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
154505 Issued in IN
Legal business name
SHADELAND ANESTHESIA & PAIN ASSOCIATES INC.
Doing business as
Center for Pain Management
Practice address
8805 N Meridian St
Indianapolis, IN 46260-2332
Phone
(317) 706-7246
Fax
(317) 706-3419
NPI assigned
Jun 24, 2006
Last updated
Apr 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Edward Kowlowitz, MDNPI 1972590529
Title
Owner
Phone
(317) 706-7246

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 154505 IN Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

8805 N Meridian St
Indianapolis, IN 46260-2332

Mailing address

29943 Network PL
Chicago, IL 60673-1299
Phone (317) 706-3415

Other names 1

  • Center for Pain Management Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040628000781 IN Part B Supplier - Clinic/Group Practice 2769468990 Receives reassigned benefits from 57 practitioners
Practice locations: Indianapolis, IN; Rockport, IN; Munster, IN; Lafayette, IN; Kokomo, IN; Jasper, IN; Greenwood, IN; Fishers, IN…

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

4425 Reliable Pkwy
Chicago, IL 60686

97 Dover St
Avon, IN 46123

97 Dover St
Ste A
Avon, IN 46123

11595 N Meridian St
Carmel, IN 46032
Phone (317) 509-0066

11595 N Meridian St
Ste 400
Carmel, IN 46032

11595 N Meridian St
Ste 4002
Carmel, IN 46032

4411 Washington Ave
Ste 101
Evansville, IN 47714

533 E County Line Rd
Ste 102
Greenwood, IN 46143
Phone (317) 497-6626

533 E County Line Rd
Ste 201
Greenwood, IN 46143

533 E County Line Rd
Ste 201B
Greenwood, IN 46143
Phone (317) 807-1132

555 E County Line Rd
Ste 102
Greenwood, IN 46143

1 American Sq
Ste 165
Indianapolis, IN 46282
Phone (317) 955-3988

8805 N Meridian St
Ste 200
Indianapolis, IN 46260
Phone (317) 571-5000

8805 N Meridian St
Ste 300
Indianapolis, IN 46260

690 2nd St
Jasper, IN 47546
Phone (812) 478-5437

690 2nd St
Ste C
Jasper, IN 47546

3738 Landmark Dr
Lafayette, IN 47905

3738 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 807-2780

3750 Landmark Dr
Lafayette, IN 47905
Phone (765) 807-2780

3750 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 448-4511

143 Hospital Dr
Ste 201
State College, PA 16803
Phone (814) 231-7888

Practitioners & affiliated clinicians

Practitioners 60

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 60

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1477589000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29943 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "317-706-3415",
            "fax_number": "317-706-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602332",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADELAND ANESTHESIA & PAIN ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "KOWLOWITZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-706-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "154505",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.