Midwest Sports and Pain Specialists, P.C.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

036107147 Issued in IL

Legal business name

MIDWEST SPORTS AND PAIN SPECIALISTS, P.C.

Practice address

1999 Springbrook Square Dr
Ste 101
Naperville, IL 60564-5946

Phone

(630) 378-4590

Fax

(630) 378-4592

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Aparna Tata

Title

Office Manager

Phone

(630) 378-4590

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Narayan S Tata, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Naperville, IL
  • NPI 1881648962
  Medicare reassignment NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1669414983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 SPRINGBROOK SQUARE DR",
            "address_2": "STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645946",
            "telephone_number": "630-378-4590",
            "fax_number": "630-378-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SPRINGBROOK SQUARE DR",
            "address_2": "STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645946",
            "telephone_number": "630-378-4590",
            "fax_number": "630-378-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SPORTS AND PAIN SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "TATA",
        "authorized_official_first_name": "APARNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-378-4590",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "036107147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN NPI NUMBER",
            "identifier": "1881648962",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Midwest Wound Care Physicians LLC
• Midwestpediatrics,LTD
• Emily Miehlke
• Mielke Chiropractic, Corp.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.