NPIMap

Organization Active NPI

Centers for Pain Control, Inc

  • Pain Medicine Physician
  • Munster, IN
National Provider Identifier
1609333723
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
CENTERS FOR PAIN CONTROL, INC
Practice address
1928 45TH St
Munster, IN 46321-3917
Phone
(219) 476-7246
Fax
(219) 476-1713
NPI assigned
Feb 25, 2019
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTERS FOR PAIN CONTROL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Ujwala S Puranik
Title
Administrator
Phone
(219) 476-7246

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Diagnostic Radiology Physician 2085R0202X NU
Vascular & Interventional Radiology Physician 2085R0204X NU
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

1928 45TH St
Munster, IN 46321-3917

Mailing address

2500 Calumet Ave Ste E
Valparaiso, IN 46383-3735
Phone (219) 476-7246

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2115693Centers for Pain Control1928 45TH St, Munster, IN 46321Certificate of waiverJul 11, 2028

National Provider Directory

National Provider Directory
Part of
Centers Control Inc

Locations

900 I St
Ste 1
Laporte, IN 46350
Phone (219) 324-1670

1924 45th St
Munster, IN 46321
Phone 2194767246321

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1609333723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CALUMET AVE STE E",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833735",
            "telephone_number": "219-476-7246",
            "fax_number": "844-861-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 45TH ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213917",
            "telephone_number": "219-476-7246",
            "fax_number": "219-476-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR PAIN CONTROL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERS FOR PAIN CONTROL, INC",
        "enumeration_date": "2019-02-25",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "PURANIK",
        "authorized_official_first_name": "UJWALA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-476-7246"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.