NPIMap

Organization Active NPI

Interventional Pain Care Associates, LLC

  • Interventional Pain Medicine Physician
  • Carmel, IN
National Provider Identifier
1922129899
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
01052603A Issued in IN
Legal business name
INTERVENTIONAL PAIN CARE ASSOCIATES, LLC
Practice address
12188A N Meridian St
Suite 105
Carmel, IN 46032-4406
Phone
(317) 566-9830
Fax
(317) 566-9832
NPI assigned
Apr 2, 2007
Last updated
Feb 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. Anthony Sabatino, M.D.NPI 1760458012
Title
President
Phone
(317) 566-9830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 01052603A IN Primary

Addresses

Primary practice location

12188A N Meridian St
Suite 105
Carmel, IN 46032-4406

Mailing address

12188A N Meridian St
Suite 105
Carmel, IN 46032-4406
Phone (317) 566-9830

Other identifiers 2

IdentifierTypeStateIssuer
200303510MedicaidIN
200491030AMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Indiana Oncology Hematology Consultants9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12188 N Meridian St
Bldg A
Carmel, IN 46032
Phone (317) 566-9830

12188A N Meridian St
Ste 105
Carmel, IN 46032
Phone (317) 566-9830

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1922129899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12188A N MERIDIAN ST",
            "address_2": "SUITE 105",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324406",
            "telephone_number": "317-566-9830",
            "fax_number": "317-566-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188A N MERIDIAN ST",
            "address_2": "SUITE 105",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324406",
            "telephone_number": "317-566-9830",
            "fax_number": "317-566-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "SABATINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-566-9830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01052603A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200303510",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200491030A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.