Individual provider Active NPI

Kiran C Tamirisa, M.D.

  • Interventional Pain Medicine Physician
  • Oregon, OH
National Provider Identifier
1851332829
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
35045601 Issued in OH
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

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000185388OtherOHBCBS
4272949-10MedicaidMI
0440866MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101026000922 OH Practitioner - AnesthesiologyPractitioner - Pain Management 7618870593 Reassigns benefits to 2 organizations
I20221005003018 IL Practitioner - Pain Management 7618870593 Reassigns benefits to 1 organization
I20250623000977 WI Practitioner - Pain Management 7618870593 Reassigns benefits to 1 organization

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 IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

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

LicenseStateTypeSpecialty
13332WIMDPain Medicine Physician
35045601OHMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians - North, LLC CurrentSince Jan 1, 2014 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 16, 2025 Accepting new patients
Mercy Health Physicians-North LLC Anesthesiology CurrentSince Jan 1, 2014 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jun 16, 2025 Accepting new patients
Comprehensive Pain Management Specialists Anesthesiology CurrentSince May 15, 2025 Accepting new patients
Medical Practices of Antietam, LLC Current Accepting new patients
Pain Management Group LLC Pain Medicine CurrentSince Aug 1, 2022 Accepting new patients
Comprehensive Pain Management Specialists Pain Medicine CurrentSince May 15, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIJJAA
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.