Active NPI
Dayton Pain Center LLC
- Pain Clinic/Center
- Dayton, OH
National Provider Identifier
1790730638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- DAYTON PAIN CENTER LLC
- Practice address
- 1 Elizabeth PL
Ste#D
Dayton, OH 45417 - Phone
- (937) 222-2233
- Fax
- (937) 222-9665
- NPI assigned
- May 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bhimavarapu Krishna Reddy, M.D.
- Title
- Medical Director
- Phone
- (937) 222-2233
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | OH | Primary |
Addresses
Primary practice location
1 Elizabeth PL
Ste#D
Dayton, OH 45417
Mailing address
1 Elizabeth PL
Ste#D
Dayton, OH 45417-3445
Phone (937) 222-2233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2442968 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031124000530 | OH | Part B Supplier - Clinic/Group Practice | 8123922887 |
Receives reassigned benefits from 28 practitioners Practice locations: Dayton, OH; Sidney, OH |
National Provider Directory
National Provider DirectoryLocations
5335 Far Hills Ave
Ste 113
Dayton, OH 45429
Phone (937) 435-4422
331 6th Ave
Sidney, OH 45365
Phone (937) 222-2233
Practitioners & affiliated clinicians
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Dayton, OH
- NPI 1346294485
OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777248000000",
"number": "1790730638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ELIZABETH PL",
"address_2": "STE#D",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173445",
"telephone_number": "937-222-2233",
"fax_number": "937-222-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELIZABETH PL",
"address_2": "STE#D",
"city": "DAYTON",
"state": "OH",
"postal_code": "45417",
"telephone_number": "937-222-2233",
"fax_number": "937-222-9665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYTON PAIN CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "BHIMAVARAPU",
"authorized_official_middle_name": "KRISHNA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "937-222-2233",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2442968",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.