NPIMap

Organization Active NPI

Comprehensive Pain Management LLC

  • Specialist
  • Baton Rouge, LA
National Provider Identifier
1811940463
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COMPREHENSIVE PAIN MANAGEMENT LLC
Practice address
9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809-2975
Phone
(225) 368-2300
Fax
(225) 368-2280
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Authorized official

Name
Ms. Janice Lamonica
Title
Practice Administrator
Phone
(225) 368-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X LA Primary

Addresses

Primary practice location

9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809-2975

Mailing address

9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809-2993
Phone (225) 368-2311

Other identifiers 1

IdentifierTypeStateIssuer
2182161MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051116000494 LA Part B Supplier - Clinic/Group Practice 8325067655 Receives reassigned benefits from 6 practitioners
Practice locations: Baton Rouge, LA

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
19D0998563Comprehensive Pain Management, LLC9118 Bluebonnet Center Boulevard, 2ND Floor, Baton Rouge, LA 70809AccreditationNov 23, 2027

National Provider Directory

National Provider Directory

Locations

9116 Bluebonnet Centre Blvd
Baton Rouge, LA 70809
Phone (225) 368-2347

9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809
Phone (225) 368-2300

9118 Bluebonnet Centre Blvd
Fl 2
Baton Rouge, LA 70809
Phone (225) 368-2300

Practitioners & affiliated clinicians

Practitioners 8

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1811940463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9118 BLUEBONNET CENTRE BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092993",
            "telephone_number": "225-368-2311",
            "fax_number": "225-368-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 BLUEBONNET CENTRE BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092975",
            "telephone_number": "225-368-2300",
            "fax_number": "225-368-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "LAMONICA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "225-368-2311",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2182161",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.