Organization Active NPI

M Kari Interventional Pain Services PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Bettendorf, IA
National Provider Identifier
1720567449
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
M KARI INTERVENTIONAL PAIN SERVICES PLLC
Practice address
4480 Utica Ridge Rd Ste 2222
Bettendorf, IA 52722-1644
Phone
(563) 742-6824
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Maruti Kari, MDNPI 1326275413
Title
Owner
Phone
(773) 715-1042

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

4480 Utica Ridge Rd Ste 2222
Bettendorf, IA 52722-1644

Mailing address

PO Box 689
Lake Forest, IL 60045-0689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190417002010 IA Part B Supplier - Clinic/Group Practice 7911248026 Receives reassigned benefits from 1 practitioner
Practice locations: Bettendorf, IA; Davenport, IA; Iowa City, IA
O20190502001180 IL Part B Supplier - Clinic/Group Practice 7911248026 Receives reassigned benefits from 1 practitioner
Practice locations: Moline, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1720567449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 UTICA RIDGE RD STE 2222",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221644",
            "telephone_number": "563-742-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M KARI INTERVENTIONAL PAIN SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "KARI",
        "authorized_official_first_name": "MARUTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-715-1042",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.