Pain Diagnosis and Treatment Center, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PAIN DIAGNOSIS AND TREATMENT CENTER, PLLC

Practice address

8556 E 101St St
Suite a
Tulsa, OK 74133-7033

Phone

(918) 369-5511

Fax

(918) 369-5512

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Bhadresh BhaktaNPI 1184606550

Title

Member

Phone

(918) 369-5511

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFHEAA

Practitioners 2

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

• Bhadresh L Bhakta, MD

  • Interventional Pain Medicine Physician
  • Tulsa, OK
  • NPI 1184606550
  Medicare reassignment NPD Authorized official
• Venkatesh Movva, MD

  • Pain Medicine Physician
  • Tulsa, OK
  • NPI 1457372260
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1841489333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8556 E 101ST ST",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337033",
            "telephone_number": "918-369-5511",
            "fax_number": "918-369-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8556 E 101ST ST",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337033",
            "telephone_number": "918-369-5511",
            "fax_number": "918-369-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN DIAGNOSIS AND TREATMENT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "BHADRESH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-369-5511"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pahledent LLC
• Anait Pahlevanyan
• Tulani M Paige
• Pain and Rehab Associates LLC
• Pain Care Associates of Oklahoma
• Pain Institute of Tulsa, Inc
• Pain Management of Tulsa P C
• Nicole Pain
• Kendal Painter, PHARMD
• Rebecca Lynn Painter, CSFA

• Interventional Pain Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Interventional Pain Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.