National Pain Centers LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

036115091 Issued in IL

Legal business name

NATIONAL PAIN CENTERS LLC

Practice address

21720 W Long Grove Rd
Ste. C200
Deer Park, IL 60010-3732

Phone

(847) 701-3250

NPI assigned

Jan 20, 2011

Last updated

Jun 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jay Joshi, MDNPI 1447203153

Title

President/Medical Director

Phone

(847) 701-3250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• National Pain Centers, LLC

  • Non-Pharmacy Dispensing Site
  • Elk Grove Village, IL
  • NPI 1003164559
  NPPES parent name

Practitioners 4

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.

• Jay Joshi, M.D.

  • Interventional Pain Medicine Physician
  • Deer Park, IL
  • NPI 1447203153
  Medicare reassignment Authorized official
• Deanne K Giannola, PA-C

  • Physician Assistant
  • Vernon Hills, IL
  • NPI 1962733253
  Medicare reassignment
• J. Grant Reffell, D.C.

  • Chiropractor
  • Deer Park, IL
  • NPI 1326180977
  Medicare reassignment
• Thomas Joseph Valente, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Cottonwood, AZ
  • NPI 1801923602
  NPD (past)

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1578868642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21720 W LONG GROVE RD",
            "address_2": "STE. C200",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600103732",
            "telephone_number": "847-701-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21720 W LONG GROVE RD",
            "address_2": "STE. C200",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600103732",
            "telephone_number": "847-701-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PAIN CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-701-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036115091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicaid Support, LLC
• Midwest Institute for Wellness LLC
• Midwest Medical Services PLLC (Midwest Home Wound Care Services)
• Arielle Miree, LPC
• Johnathan Myers
• Open Advanced MRI of Deer Park, LLC
• Oral Facial & Implant Specialists, P.C.
• Patel Medical Group P.C. (Aayu Well)
• Darshan Patel, MD
• Jenean Poley, LCPC

• Interventional Pain Medicine Physician in Deer Park, IL
• Providers in Deer Park, IL by specialty
• Interventional Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.