Organization Active NPI

Professional Anesthesiology Interventional Network, Inc

Doing business as Chicago Pain Management Center

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1821548215
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036134543 Issued in IL
Legal business name
PROFESSIONAL ANESTHESIOLOGY INTERVENTIONAL NETWORK, INC
Doing business as
Chicago Pain Management Center
Loop Medical Center
Practice address
1921 S Michigan Ave
Chicago, IL 60616-1603
Phone
(312) 414-1088
Fax
(312) 920-1799
NPI assigned
Oct 10, 2016
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Nidal Elbaridi, MDNPI 1780821264
Title
Medical Director
Phone
(312) 414-1088

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036134543 IL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 261710 MA
Pain Medicine Physician 208VP0000X NU
Interventional Pain Medicine Physician 208VP0014X NU
Physical Therapist 225100000X 05005794A IN

Addresses

Primary practice location

1921 S Michigan Ave
Chicago, IL 60616-1603

Mailing address

1921 S Michigan Ave
Chicago, IL 60616-1603
Phone (312) 414-1088

Other names 2

  • Chicago Pain Management Center Doing business as
  • Loop Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161229001544 IL Part B Supplier - Clinic/Group Practice 2961783121 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1821548215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161603",
            "telephone_number": "312-414-1088",
            "fax_number": "312-920-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161603",
            "telephone_number": "312-414-1088",
            "fax_number": "312-920-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ANESTHESIOLOGY INTERVENTIONAL NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "ELBARIDI",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-414-1088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036134543",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "261710",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005794A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Pain Management Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chicago Pain Management Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loop Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.

Verify at the official NPI Registry.