Individual provider Active NPI

Brian Ogan, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Champaign, IL
National Provider Identifier
1528077948
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036-101808 Issued in IL
Practice address
1002 Interstate Dr Ste 100
Champaign, IL 61822-1465
Phone
(217) 974-9366
Fax
(800) 801-3765
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036101808 IL
Anesthesiology Physician 207L00000X 336-067076 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 036-101808 IL Primary

Addresses

Primary practice location

1002 Interstate Dr Ste 100
Champaign, IL 61822-1465

Mailing address

406 Brierhill Rd
Deerfield, IL 60015-4402
Phone (217) 974-9366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040119000132 IL Practitioner - AnesthesiologyPractitioner - Pain Management 1759282114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
May accept Medicare assignment
Group practices
Illinois Spine and Pain Center SC 2 clinicians
Accilien Enterprises Il PLLC 3 clinicians

Practice addresses (Care Compare)

1002 Interstate Dr
Champaign, IL 61822-1465
Phone (217) 974-9366

2203 Eastland Dr
Suite 7
Bloomington, IL 61704-7924
Phone (951) 840-8851

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
336-067076ILMDAnesthesiology Physician
036-101808ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Spine and Regenerative Pain Center Inc Pain Medicine Current Accepting new patients
Illinois Spine and Pain Center SC Pain Medicine CurrentSince Jan 19, 2004 Accepting new patients
Elite Spine and Regenerative Pain Center, LTD Pain Medicine Current Accepting new patients
Accilien Enterprises Il PLLC CurrentSince Nov 1, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Chicago Pain Center, LTD. Past Accepting new patients

Locations

2203 Eastland Dr
Ste 7
Bloomington, IL 61704
Phone (309) 808-1700

1002 Interstate Dr
Champaign, IL 61822
Phone (217) 693-5703

1002 Interstate Dr
Ste 100
Champaign, IL 61822
Phone (217) 974-9366

2466 Momentum Pl
Chicago, IL 60689

901 Medical Park Dr
Ste 201
Effingham, IL 62401
Phone (217) 342-7500

Interoperability endpoints

  • Direct secure messaging: illinoisspineandpaincenter.brianogan@157433.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/3712/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1528077948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BRIERHILL RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154402",
            "telephone_number": "217-974-9366",
            "fax_number": "800-801-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 INTERSTATE DR STE 100",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221465",
            "telephone_number": "217-974-9366",
            "fax_number": "800-801-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGAN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036101808",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "336-067076",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036-101808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.