Tristate Pain Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TRISTATE PAIN SURGERY CENTER, LLC

Practice address

6426 Highway 51 N Ste a
Horn Lake, MS 38637-2474

Phone

(662) 929-0200

Fax

(662) 929-0300

NPI assigned

Oct 23, 2025

Last updated

Jan 27, 2026By 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 Sanapati, MFNPI 1154325959

Title

President

Phone

(812) 573-1207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891663761. Details of each certification follow.

• CCN 25C0001118 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 25C0001118

Legal name

TRISTATE PAIN SURGERY CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 23, 2026

Last certification

Mar 6, 2026

Ownership / control type

Proprietary

Facility address

6426 Highway 54 N, Suite a
Horn Lake, MS 38637

Locations

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.

• Mahendra R. Sanapati, M.D.

  • Interventional Pain Medicine Physician
  • Evansville, IN
  • NPI 1154325959

  MS

  Medicare reassignment Authorized official
• Jaya Subha Sanapati, MD

  • Interventional Pain Medicine Physician
  • Evansville, IN
  • NPI 1780248740

  MS

  Medicare reassignment

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1891663761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 HIGHWAY 51 N STE A",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386372474",
            "telephone_number": "662-929-0200",
            "fax_number": "662-929-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 HIGHWAY 51 N STE A",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386372474",
            "telephone_number": "662-929-0200",
            "fax_number": "662-929-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE PAIN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "SANAPATI",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-573-1207",
        "authorized_official_credential": "MF"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Horn Lake, MS
• Providers in Horn Lake, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.