Interventional Pain Management, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INTERVENTIONAL PAIN MANAGEMENT, LLC

Practice address

1924 45TH Street
Munster, IN 46321

Phone

(219) 476-7246

Fax

(219) 476-1713

NPI assigned

Aug 1, 2016

Organization subpart

Yes

Parent organization

INTERVENTIONAL PAIN MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Ujwala Puranik

Title

Coo

Phone

(219) 476-7246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Hospital certification: CCN 150190

Legal name

INTERVENTIONAL PAIN MANAGEMENT LLC

Certification status

Terminated Voluntary: merger or closure, Dec 31, 2021

Provider type (POS)

Hospital – Short-term

Participating since

May 21, 2020

Last certification

May 21, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

1924 45TH St
Munster, IN 46321

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Interventional Pain Management LLC

  • Ambulatory Surgical Clinic/Center
  • Valparaiso, IN
  • NPI 1083051346

  3274768692

  Same PAC ID
• Interventional Pain Management LLC

  • Ambulatory Surgical Clinic/Center
  • Hobart, IN
  • NPI 1164833687

  3274768692

  Same PAC ID
• Interventional Pain Management LLC

  • Ambulatory Surgical Clinic/Center
  • La Porte, IN
  • NPI 1306274097

  3274768692

  Same PAC ID

Listed as

Interventional Pain Management LLCCCN 15C0001201

Medicare certification status

ActiveFrom the Provider of Services file

Part of

Interventional Pain Management LLC

Locations

Practitioners 6

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

• Simon G. Ho, MD

  • Pain Medicine (Anesthesiology) Physician
  • Crown Point, IN
  • NPI 1457552200
  Medicare reassignment
• Chetan Puranik, MD

  • Pain Medicine (Anesthesiology) Physician
  • La Porte, IN
  • NPI 1760532741
  Medicare reassignment
• Rohit S Puranik, MD

  • Pain Medicine (Anesthesiology) Physician
  • Crown Point, IN
  • NPI 1235459975
  Medicare reassignment
• Daniel Cha, MD

  • Pain Medicine (Anesthesiology) Physician
  • Skokie, IL
  • NPI 1063442051

  IN

  Medicare reassignment
• Monish Merchant, M.D.

  • Vascular & Interventional Radiology Physician
  • Fort Lauderdale, FL
  • NPI 1609187186

  IN

  Medicare reassignment
• Keerthi D Prasad, M.D.

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
  • NPI 1043518186

  IN

  Medicare reassignment

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1801349386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 ROOSEVELT RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832907",
            "telephone_number": "219-476-7246",
            "fax_number": "219-476-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 45TH STREET",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-476-7246",
            "fax_number": "219-476-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MANAGEMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERVENTIONAL PAIN MANAGEMENT, LLC",
        "enumeration_date": "2016-08-01",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "PURANIK",
        "authorized_official_first_name": "UJWALA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "219-476-7246"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nadia Inocencio
• Institute of Advanced Care & Analytics PC
• Interventional Spine and Joint Specialists, LLC
• Interventional Spine and Pain Centers, LLC
• Wing Yee Ip, PHARMD
• Zaklina Ivanovic
• Ivy Infusion Professional Nursing Services LLC

• Ambulatory Surgical Clinic/Center in Munster, IN
• Providers in Munster, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.