Interventional Pain Management Services LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTERVENTIONAL PAIN MANAGEMENT SERVICES LLC

Practice address

2421 Corporate Ctr Ste 105
Granite City, IL 62040-4195

Phone

(618) 288-8905

NPI assigned

Oct 2, 2018

Organization subpart

No

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

Authorized official

Name

Mahendra Gunapooti, MD

Title

President

Phone

(314) 830-2600

Specialties & licenses 1

Addresses

Other names 1

• INTERVENTIONAL PAIN MANAGEMENT Other name

Tax ID family

Interventional Pain Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Interventional Pain Management Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Granite City, IL
  • NPI 1043795354
  NPD tax ID

Locations

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1609351923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620250650",
            "telephone_number": "314-830-2600",
            "fax_number": "314-830-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 CORPORATE CTR STE 105",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404195",
            "telephone_number": "618-288-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "GUNAPOOTI",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-830-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERVENTIONAL PAIN MANAGEMENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Illinois Eye Specialists
• Illinois/Indiana Em-I Medical Services, SC
• Megan M Ingersoll, RN, CRNA
• Kyle Brandon Ingram, PHARMD
• Interventional Pain Management Services LLC
• Inwood Emergency Physicians, LLC
• Retunda Jackson- Phiffer
• Gabriel Jarman
• Sarah E Jeter, CRNA
• Rachel Jordan, APRN

• Interventional Pain Medicine Physician in Granite City, IL
• Providers in Granite City, 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 May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.