Active NPI
Regenerative Pain & Spine PLLC
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- REGENERATIVE PAIN & SPINE PLLC
- Practice address
- 11536 S. Western Ave
Chicago, IL 60643 - Phone
- (312) 300-3882
- Fax
- (708) 452-1444
- NPI assigned
- Sep 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shoeb Mohiuddin, MD
- Title
- Owner
- Phone
- (708) 691-8841
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
11536 S. Western Ave
Chicago, IL 60643
Mailing address
PO Box 719062
Chicago, IL 60677-9286
Phone (312) 300-3882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2327977 | Regenerative Pain & Spine | Certificate of waiver | Jul 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
11536 S Western Ave
Chicago, IL 60643
Phone (312) 300-3882
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767830400000",
"number": "1538775770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719062",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606779286",
"telephone_number": "312-300-3882",
"fax_number": "708-452-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11536 S. WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60643",
"telephone_number": "312-300-3882",
"fax_number": "708-452-1444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENERATIVE PAIN & SPINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-22",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A",
"authorized_official_last_name": "MOHIUDDIN",
"authorized_official_first_name": "SHOEB",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-691-8841",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.