Individual provider Active NPI

Gobi Kumar Paramanandam, M.D.

  • Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1568677706
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
34996 Issued in AZ
Practice address
4611 E Shea Blvd Ste 190
Phoenix, AZ 85028-4259
Phone
(480) 889-0180
Fax
(480) 889-0186
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 34996 AZ Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 34996 AZ

Addresses

Primary practice location

4611 E Shea Blvd Ste 190
Phoenix, AZ 85028-4259

Mailing address

4611 E Shea Blvd Ste 190
Phoenix, AZ 85028-4259
Phone (480) 889-0180

Other practice location 1

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000

Other practice location 2

1510 E Flower St
Phoenix, AZ 85014-5698
Phone (602) 212-3000

Other identifiers 1

IdentifierTypeStateIssuer
212450MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070612000631 AZ Practitioner - Pain ManagementPractitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Hematology/Oncology 8921106121 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Hospice/Palliative Care
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Center for Pain and Supportive Care P L L CGroup PAC ID 5597847517, 4 clinicians

Practice addresses (Care Compare)

4611 E Shea Blvd
Suite 190
Phoenix, AZ 85028-4259
Phone (480) 889-0180

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Physicians Group PLC CurrentSince Oct 20, 2020 Accepting new patients
Arizona Supportive Care, LLC CurrentSince Oct 15, 2011 Accepting new patients
United Telehealth Corp CurrentSince Feb 26, 2021 Accepting new patients

Locations

1510 E Flower St
Phoenix, AZ 85014
Phone (602) 530-6900

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

Interoperability endpoints

  • Direct secure messaging: gobi.paramanandam.p1@direct.azcpsc.nextgenshare.com

Organizations & group practices 5

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1568677706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284259",
            "telephone_number": "480-889-0180",
            "fax_number": "480-889-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284259",
            "telephone_number": "480-889-0180",
            "fax_number": "480-889-0186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595452",
            "country_code": "US",
            "telephone_number": "480-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1510 E Flower St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850145698",
            "country_code": "US",
            "telephone_number": "602-212-3000",
            "fax_number": "602-212-3002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARAMANANDAM",
        "first_name": "GOBI",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "34996",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "34996",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212450",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.