NPIMap

Organization Active NPI

Spine LLC

  • Pain Medicine (Anesthesiology) Physician
  • Gahanna, OH
National Provider Identifier
1780987768
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35081178 Issued in OH
Legal business name
SPINE LLC
Practice address
1090 Beecher Xing N Ste a
Gahanna, OH 43230-4566
Phone
(614) 392-5336
Fax
(614) 392-5339
NPI assigned
Dec 13, 2010
Last updated
Apr 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Dr. Nikesh Batra, M.D.NPI 1285689224
Title
Physician/Owner
Phone
(614) 937-7351

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) Physician 207LP2900X 35081178 OH Primary

Addresses

Primary practice location

1090 Beecher Xing N Ste a
Gahanna, OH 43230-4566

Mailing address

1090 Beecher Xing N Ste a
Gahanna, OH 43230-4566
Phone (614) 392-5336

Other identifiers 1

IdentifierTypeStateIssuer
3123908MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Gahanna

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121207000232 OH Part B Supplier - Clinic/Group Practice 1456503937 Receives reassigned benefits from 5 practitioners
Practice locations: Gahanna, OH; Dublin, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2066144Spine LLC1090 Beecher Xing N, Gahanna, OH 43230Certificate of waiverSep 22, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1780987768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 BEECHER XING N STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304566",
            "telephone_number": "614-392-5336",
            "fax_number": "614-392-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 BEECHER XING N STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304566",
            "telephone_number": "614-392-5336",
            "fax_number": "614-392-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "BATRA",
        "authorized_official_first_name": "NIKESH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "614-937-7351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35081178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3123908",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gahanna",
            "affiliation": "N",
            "address_1": "1090 Beecher Xing N Ste A",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432304566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.