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

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

Locations

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

• 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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• All providers in Horn Lake, MS
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.