Individual provider Active NPI

Jaya Subha Sanapati, MD

  • Interventional Pain Medicine Physician
  • Evansville, IN
National Provider Identifier
1780248740
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
35903 Issued in MS
Practice address
1101 Professional Blvd Ste 100
Evansville, IN 47714-8018
Phone
(812) 477-7246
Fax
(812) 477-7240
NPI assigned
Apr 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01088378A IN
Interventional Pain Medicine Physician 208VP0014X 35903 MS Primary

Addresses

Primary practice location

1101 Professional Blvd Ste 100
Evansville, IN 47714-8018

Mailing address

10477 Ashton CT
Newburgh, IN 47630-8891
Phone (812) 629-8229

Other practice location 1

112 Keeton Dr
Hopkinsville, KY 42240-8756
Phone (270) 881-4150

Other practice location 2

6426 Highway 51 N Ste B
Horn Lake, MS 38637-2474
Phone (662) 440-7246

Other practice location 3

8000 Centerview Pkwy Ste 100
Cordova, TN 38018-4289
Phone (901) 249-5905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, TN, MS4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220912001944 IN Practitioner - Pain ManagementPractitioner - Internal Medicine 5294110292 Reassigns benefits to 2 organizations
I20220917000362 KY Practitioner - Pain ManagementPractitioner - Internal Medicine 5294110292 Reassigns benefits to 2 organizations
I20251211000011 TN Practitioner - Internal Medicine 5294110292 Reassigns benefits to 2 organizations
I20260131000053 MS Practitioner - Interventional Pain ManagementPractitioner - Internal MedicinePractitioner - Pain Management 5294110292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Pain Management Centers of America, PSCGroup PAC ID 2769727114, 25 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

1101 Professional Blvd
Suite 100
Evansville, IN 47714-8018
Phone (812) 477-7246

200 Clinic Dr
FL 3
Madisonville, KY 42431-1661
Phone (812) 477-7246

2013 Exeter Rd
Germantown, TN 38138-3946
Phone (901) 737-4035

8000 Centerview Pkwy
Suite 100
Cordova, TN 38018-4289
Phone (812) 573-1812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01088378AINMDInternal Medicine Physician
TP039KYMDHospitalist Physician
35903MSMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Centers of America, PSC Interventional Pain Medicine CurrentSince Sep 5, 2022 Accepting new patients
Advanced Pain Care Clinic PSC Interventional Pain Medicine CurrentSince Nov 26, 2025 Accepting new patients
Advanced Pain Care Clinic Interventional Pain Medicine PastSince Dec 12, 2025 Accepting new patients

Locations

1101 Professional Blvd
Ste 210
Evansville, IN 47714
Phone (812) 214-4099

1101 Professional Blvd
Ste 100
Evansville, IN 47714
Phone (812) 573-1207

112 Keeton Dr
Hopkinsville, KY 42240
Phone (270) 554-8373

1195 S Main St
#D
Madisonville, KY 42431
Phone (812) 505-2164

200 Clinic Dr
Fl 3
Madisonville, KY 42431
Phone (270) 825-7214

67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373

6426 Highway 51 N
Ste A
Horn Lake, MS 38637
Phone (662) 929-0200

6426 Highway 51 N
Ste B
Horn Lake, MS 38637
Phone (662) 440-7246

8000 Centerview Pkwy
Ste 100
Cordova, TN 38018
Phone (901) 249-5905

8001 Centerview Pkwy
Ste 215
Cordova, TN 38018
Phone (901) 249-5905

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1780248740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10477 ASHTON CT",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308891",
            "telephone_number": "812-629-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL BLVD STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148018",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Keeton Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422408756",
            "country_code": "US",
            "telephone_number": "270-881-4150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6426 Highway 51 N Ste B",
            "address_purpose": "LOCATION",
            "city": "Horn Lake",
            "state": "MS",
            "postal_code": "386372474",
            "country_code": "US",
            "telephone_number": "662-440-7246",
            "fax_number": "662-439-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8000 Centerview Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380184289",
            "country_code": "US",
            "telephone_number": "901-249-5905",
            "fax_number": "901-249-5940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANAPATI",
        "first_name": "JAYA",
        "middle_name": "SUBHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01088378A",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MS",
            "license": "35903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.