Individual provider Active NPI

Chandur Piryani, MD

  • Interventional Pain Medicine Physician
  • Niagara, WI
National Provider Identifier
1811969066
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
41270 Issued in WI
Practice address
1601 Roosevelt Rd
Niagara, WI 54151-1043
Phone
(888) 724-6377
Fax
(888) 214-9699
NPI assigned
Feb 2, 2006
Last updated
Aug 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 4301075144 MI
Interventional Pain Medicine Physician 208VP0014X 41270 WI Primary

Addresses

Primary practice location

1601 Roosevelt Rd
Niagara, WI 54151-1043

Mailing address

1601 Roosevelt Rd
PO Box 6
Niagara, WI 54151-1043
Phone (888) 724-6377

Other identifiers 6

IdentifierTypeStateIssuer
050076128OtherMIRAILROAD MEDICARE
050B210120OtherMIBCBS
050076130OtherWIRAILROAD MEDICARE
32526700MedicaidWI
1024529OtherPREFERRED ONE
4162339MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040303000066 WI Practitioner - Interventional Pain ManagementPractitioner - Pain Management 3476440538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10945 N Port Washington Rd
Suite 100
Mequon, WI 53092-5078
Phone (262) 478-0301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075144MIMDInterventional Pain Medicine Physician
41270WIMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louis Noto, M.D., S.C. CurrentSince Jan 6, 2024 Accepting new patients
Wisconsin Michigan Physicians, SC Interventional Pain Medicine CurrentSince May 2, 2008 Accepting new patients
Wisconsin Michigan Physicians, SC CurrentSince May 2, 2008 Accepting new patients

Locations

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

5261 N Port Washington Rd
Glendale, WI 53217
Phone (414) 332-6001

502 Copper St
Hurley, WI 54534
Phone (715) 561-4795

10945 N Port Washington Rd
Ste 100
Mequon, WI 53092
Phone (262) 365-6572

8532 W Capitol Dr
Milwaukee, WI 53222
Phone (414) 463-2607

1601 Roosevelt Rd
Niagara, WI 54151
Phone (715) 251-1780

1080 W Fond du Lac St
Ripon, WI 54971
Phone (920) 748-1497

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1811969066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ROOSEVELT RD",
            "address_2": "PO BOX 6",
            "city": "NIAGARA",
            "state": "WI",
            "postal_code": "541511043",
            "telephone_number": "888-724-6377",
            "fax_number": "888-214-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ROOSEVELT RD",
            "city": "NIAGARA",
            "state": "WI",
            "postal_code": "541511043",
            "telephone_number": "888-724-6377",
            "fax_number": "888-214-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRYANI",
        "first_name": "CHANDUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301075144",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "41270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050076128",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "050B210120",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050076130",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32526700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1024529",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4162339",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara, WI

Sources for this page

Verify at the official NPI Registry.