Pain Experts of Arizona PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PAIN EXPERTS OF ARIZONA PC

Practice address

3370 S Mercy Rd Ste 321
Gilbert, AZ 85297-0414

Phone

(480) 550-9393

NPI assigned

Jun 17, 2019

Last updated

Feb 12, 2020By 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

Ahdev KuppusamyNPI 1982994745

Title

Owner

Phone

(480) 550-9393

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 2

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

• Pain Experts of Arizona PC

  • Interventional Pain Medicine Physician
  • Mesa, AZ
  • NPI 1073293544
  NPPES parent name
• Pain Experts of Arizona PC

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1972312809
  NPPES parent name

Practitioners 9

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.

• Ahdev Kuppusamy, MD

  • Interventional Pain Medicine Physician
  • Gilbert, AZ
  • NPI 1982994745

  Anesthesiology

  Medicare reassignment Care Compare group NPD Authorized official
• Toure Ali Knighton, MD

  • Interventional Pain Medicine Physician
  • Peoria, AZ
  • NPI 1538364120

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Chance Moore, D.C.

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1134210750
  Medicare reassignment Care Compare group NPD
• Camilla Binks, FNP

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1982096418
  Medicare reassignment NPD
• Jacobo Abraham Cabrera-Ramirez, MD

  • Pain Medicine Physician
  • Gilbert, AZ
  • NPI 1942792981
  Medicare reassignment NPD
• Christina Marie Shuker, RN, CRNP

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1316205107
  Medicare reassignment NPD
• J Drake Wakefield, DO

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
  • NPI 1417586652
  Medicare reassignment NPD
• Michael Juor-Chiang Wong, MD

  • Interventional Pain Medicine Physician
  • Bel Air, MD
  • NPI 1538322870

  AZ

  Medicare reassignment NPD
• Terry M Heaps, LIC. AC - DIPL. O.M.

  • Acupuncturist
  • Houston, TX
  • NPI 1295961084
  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1659931152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 S MERCY RD STE 321",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970414",
            "telephone_number": "480-550-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 S MERCY RD STE 321",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970414",
            "telephone_number": "480-550-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN EXPERTS OF ARIZONA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "KUPPUSAMY",
        "authorized_official_first_name": "AHDEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-550-9393"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Padilla, M.D.
• Crystal Padilla, RBT
• Nadene Marie Padilla, PHARMD
• Padre Pio Clinic Inc.
• Jodie Page
• Pain Specialty Surgical Center
• Pairadox Plus, LLC (Modern Pain Institute)
• Lorena Celina Palacios- Rodriguez
• Erica Tahse Palacios, OTR/L
• Stephanie Palazzolo

• Interventional Pain Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.

Verify at the official NPI Registry.