Pain Management Centers of America, PSC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PAIN MANAGEMENT CENTERS OF AMERICA, PSC

Practice address

108 Airway Dr
Marion, IL 62959-5841

Phone

(618) 997-7820

Fax

(270) 554-8987

NPI assigned

Dec 18, 2018

Last updated

Apr 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mahendra R. Sanapati, MDNPI 1154325959

Title

President

Phone

(812) 477-7246

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Advanced Pain Care Clinic PSC

  • Interventional Pain Medicine Physician
  • Evansville, IN
  • NPI 1942378112

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Mahendra R. Sanapati, M.D.

  • Interventional Pain Medicine Physician
  • Evansville, IN
  • NPI 1154325959
  Authorized official Same address or phone

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651276800000",
    "number": "1891267688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL BLVD STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148018",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 AIRWAY DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595841",
            "telephone_number": "618-997-7820",
            "fax_number": "270-554-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CENTERS OF AMERICA, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A",
        "authorized_official_last_name": "SANAPATI",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-477-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4082761171",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pmcoa.us",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "108 Airway Dr",
            "city": "Marion",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629595841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michele A Otto, RN
• Alexander Owens, PHARMD
• Amanda Page
• Lilybeth Page, BS
• Pain Care Surgery, PC
• Adiraju Palagiri, MD
• Klara Palhegyi, DDS
• Brian Pankey
• Lindsey Parker, MSW
• Kareem Sasha Parks, MA

• Interventional Pain Medicine Physician in Marion, IL
• Providers in Marion, IL by specialty
• Interventional Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.