NPIMap

Organization Active NPI

Accilien Enterprises Il PLLC

Doing business as Guardian Headache and Pain Management Institute

  • Pain Medicine Physician
  • Bloomington, IL
National Provider Identifier
1922823913
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
ACCILIEN ENTERPRISES IL PLLC
Doing business as
Guardian Headache and Pain Management Institute
Practice address
2203 Eastland Dr Ste 7
Bloomington, IL 61704-7924
Phone
(309) 808-1700
NPI assigned
Nov 15, 2024
Last updated
Feb 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Yves-Dany Accilien, MDNPI 1720571920
Title
President
Phone
(813) 924-0236

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
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

2203 Eastland Dr Ste 7
Bloomington, IL 61704-7924

Mailing address

2203 Eastland Dr Ste 7
Bloomington, IL 61704-7924
Phone (309) 808-1700

Other names 1

  • Guardian Headache and Pain Management Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250331002086 IL Part B Supplier - Clinic/Group Practice 1759804719 Receives reassigned benefits from 5 practitioners
Practice locations: Bloomington, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1922823913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 EASTLAND DR STE 7",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047924",
            "telephone_number": "309-808-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 EASTLAND DR STE 7",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047924",
            "telephone_number": "309-808-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCILIEN ENTERPRISES IL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "ACCILIEN",
        "authorized_official_first_name": "YVES-DANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-924-0236",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Headache and Pain Management Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.