Active NPI
Pain MDS Inc
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
National Provider Identifier
1649407180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PAIN MDS INC
- Practice address
- 2525 W Carefree Hwy Ste 134
Phoenix, AZ 85085 - Phone
- (623) 580-4357
- Fax
- (623) 580-5249
- NPI assigned
- Jun 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Anthony Pannozzo, MD
- Title
- Medical Director
- Phone
- (623) 776-8686
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | AZ | ||
| Interventional Pain Medicine Physician | 208VP0014X | AZ | ||
| Ambulatory Surgical Clinic/Center | 261QA1903X | AZ | Primary |
Addresses
Primary practice location
2525 W Carefree Hwy Ste 134
Phoenix, AZ 85085
Mailing address
2525 W Carefree Hwy
Suite 134, Building 5
Phoenix, AZ 85085-6093
Phone (623) 580-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 670929 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100415000986 | AZ | Part B Supplier - Ambulatory Surgical Center | 7416084827 | Practice locations: Phoenix, AZ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Pain MDS Inc
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Peoria, AZ
- NPI 1497792097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536192000000",
"number": "1649407180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 W CAREFREE HWY",
"address_2": "SUITE 134, BUILDING 5",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850856093",
"telephone_number": "623-580-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 W CAREFREE HWY STE 134",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85085",
"telephone_number": "623-580-4357",
"fax_number": "623-580-5249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-11",
"last_updated": "2018-09-06",
"status": "A",
"authorized_official_last_name": "PANNOZZO",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "623-776-8686",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "670929",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.