NPIMap

Organization Active NPI

Metropolitan Institute of Pain, Inc.

  • Specialist
  • Chicago, IL
National Provider Identifier
1578848867
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036.117058 Issued in IL
Legal business name
METROPOLITAN INSTITUTE OF PAIN, INC.
Practice address
820 W Jackson Blvd
Suite 310
Chicago, IL 60607-3026
Phone
(312) 757-4647
Fax
(312) 724-7647
NPI assigned
Oct 18, 2011
Last updated
Mar 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Dr. Sajjad Murtaza, M.DNPI 1881656049
Title
Pain MD
Phone
(847) 971-8991

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 036.117058 IL Primary

Addresses

Primary practice location

820 W Jackson Blvd
Suite 310
Chicago, IL 60607-3026

Mailing address

820 W Jackson Blvd
Suite 310
Chicago, IL 60607-3026
Phone (312) 757-4647

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130615000136 IL Part B Supplier - Clinic/Group Practice 8022257443 Receives reassigned benefits from 10 practitioners
Practice locations: Tinley Park, IL; Naperville, IL; Lombard, IL; Hoffman Estates, IL; Hinsdale, IL; Chicago, IL; Elgin, IL; Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

4332 S Pulaski Rd
Chicago, IL 60632
Phone (773) 969-4777

3100 W Higgins Rd
Ste 155
Hoffman Est, IL 60169

130 S Main St
Ste 203
Lombard, IL 60148
Phone (630) 261-9225

710 E Ogden Ave
Ste 200
Naperville, IL 60563
Phone (630) 946-6672

7543 183rd St
Tinley Park, IL 60477
Phone (708) 263-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAEJAD

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1578848867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W JACKSON BLVD",
            "address_2": "SUITE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073026",
            "telephone_number": "312-757-4647",
            "fax_number": "312-724-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W JACKSON BLVD",
            "address_2": "SUITE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073026",
            "telephone_number": "312-757-4647",
            "fax_number": "312-724-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN INSTITUTE OF PAIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "MURTAZA",
        "authorized_official_first_name": "SAJJAD",
        "authorized_official_title_or_position": "PAIN MD",
        "authorized_official_telephone_number": "847-971-8991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036.117058",
            "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 Mar 26, 2015; 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.