NPIMap

Organization Active NPI

Pinnacle Pain Management Specialists SC

  • Interventional Pain Medicine Physician
  • Hinsdale, IL
National Provider Identifier
1932496726
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PINNACLE PAIN MANAGEMENT SPECIALISTS SC
Practice address
908 N Elm St
Suite 301
Hinsdale, IL 60521
Phone
(630) 794-9999
Fax
(630) 794-9998
NPI assigned
Jun 30, 2011
Last updated
Aug 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Dr. Neeraj Jain, MDNPI 1316028657
Title
Director
Phone
(630) 794-9999

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X Primary
Pain Clinic/Center 261QP3300X IL

Addresses

Primary practice location

908 N Elm St
Suite 301
Hinsdale, IL 60521

Mailing address

908 N Elm St
Suite 301
Hinsdale, IL 60521-3635
Phone (630) 794-9999

Other identifiers 1

IdentifierTypeStateIssuer
036082067OtherILLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111012000063 IL Part B Supplier - Clinic/Group Practice 4880866045 Receives reassigned benefits from 8 practitioners
Practice locations: Bedford Park, IL; Hinsdale, IL; Oak Brook, IL

National Provider Directory

National Provider Directory

Locations

25833 Network Pl
Chicago, IL 60673

908 N Elm St
Ste 109
Hinsdale, IL 60521
Phone (630) 321-0055

9050 W 81st St
Oak Lawn, IL 60458
Phone (708) 563-1919

9550 W 167th St
Orland Park, IL 60467
Phone (708) 478-7437

455 S Roselle Rd
Ste 100
Schaumburg, IL 60193
Phone (847) 352-7246

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": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1932496726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST",
            "address_2": "SUITE 301",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213635",
            "telephone_number": "630-794-9999",
            "fax_number": "630-794-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST",
            "address_2": "SUITE 301",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-794-9999",
            "fax_number": "630-794-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PAIN MANAGEMENT SPECIALISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "NEERAJ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-794-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036082067",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.