Active NPI
Kiran C Tamirisa, M.D.
- Interventional Pain Medicine Physician
- Oregon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 35045601
- Practice address
- 2600 Navarre Ave
Oregon, OH 43616-3207 - Phone
- (419) 696-7646
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35045601 | OH | |
| Pain Medicine Physician | 208VP0000X | 13332 | WI | |
| Interventional Pain Medicine Physician | 208VP0014X | 35045601 | OH | Primary |
Addresses
Primary practice location
2600 Navarre Ave
Oregon, OH 43616-3207
Mailing address
2600 Navarre Ave
Pain Clinic
Oregon, OH 43616-3207
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000185388 | Other | OH | BCBS |
| 4272949-10 | Medicaid | MI | |
| 0440866 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300
3535 S Smith Rd
Suite a
Fairlawn, OH 44333-9270
Phone 330208272011207
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13332 | WI | MD | Pain Medicine Physician |
| 35045601 | OH | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Mercy Health Physicians-North LLC | Anesthesiology | Current | Accepting new patients |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Comprehensive Pain Management Specialists | Anesthesiology | Current | Accepting new patients |
| Medical Practices of Antietam, LLC | Current | Accepting new patients | |
| Pain Management Group LLC | Pain Medicine | Current | Accepting new patients |
| Comprehensive Pain Management Specialists | Pain Medicine | Current | Accepting new patients |
| Comprehensive Pain Management Specialists | Past | Accepting new patients | |
| Eastriver Anesthesia Services, Inc. | Anesthesiology | Past | Accepting new patients |
| Comprehensive Pain Management Specialists | Pain Medicine | Past | Accepting new patients |
Locations
2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000
1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131
11110 Medical Campus Rd
Ste 225
Hagerstown, MD 21742
Phone (301) 665-4720
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150
2215 E Waterloo Rd
Ste 313
Akron, OH 44312
Phone (330) 208-2721
2851 Gilchrist Rd
Akron, OH 44305
Phone 3302082720 ext. 11207
3535 S Smith Rd
Ste A
Fairlawn, OH 44333
Phone (330) 945-7246
1560 Corporate Woods Pkwy
Ste B
Green, OH 44685
1560 Corporate Woods Pkwy
Green, OH 44685
Phone 330208272011201
1560 Corporate Woods Pkwy
Ste A
Green, OH 44685
2600 Navarre Ave
Fl 3
Oregon, OH 43616
Phone (419) 696-7701
2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200
1021 Sandusky St
Ste E
Perrysburg, OH 43551
Phone (419) 872-3232
3051 Graham Rd
Stow, OH 44224
Phone (330) 673-1669
9150 Market Square Dr
Streetsboro, OH 44241
Phone 330208272011201
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIJJAA
- ktamirisa1067601@direct.emplifyhealth.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Akron, OH
- NPI 1508007444
Anesthesiology
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
Anesthesiology
-
- Durable Medical Equipment & Medical Supplies
- Stow, OH
- NPI 1861942658
Pain Medicine
-
- Customized Equipment (DME)
- Perrysburg, OH
- NPI 1992358766
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
-
- General Practice Physician
- Hagerstown, MD
- NPI 1558430843
-
- Clinical Medical Laboratory
- Akron, OH
- NPI 1336419621
-
- Durable Medical Equipment & Medical Supplies
- Fairlawn, OH
- NPI 1376993782
Pain Medicine
-
- Anesthesiology Physician
- Oregon, OH
- NPI 1962574160
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1851332829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 NAVARRE AVE",
"address_2": "PAIN CLINIC",
"city": "OREGON",
"state": "OH",
"postal_code": "436163207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 NAVARRE AVE",
"city": "OREGON",
"state": "OH",
"postal_code": "436163207",
"telephone_number": "419-696-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMIRISA",
"first_name": "KIRAN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35045601",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "WI",
"license": "13332",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OH",
"license": "35045601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000185388",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4272949-10",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440866",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.