NPIMap

Organization Active NPI

Advanced Pain Care Clinic PSC

  • Interventional Pain Medicine Physician
  • Evansville, IN
National Provider Identifier
1942378112
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
01055762A Issued in IN
Legal business name
ADVANCED PAIN CARE CLINIC PSC
Practice address
1101 Professional Blvd
Evansville, IN 47714-8001
Phone
(812) 477-7246
Fax
(812) 477-7240
NPI assigned
Dec 4, 2006
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Mahendra R. Sanapati, MDNPI 1154325959
Title
Owner
Phone
(812) 477-7246

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 12

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU
Nurse Practitioner 363L00000X NU
Clinical Social Worker 1041C0700X 34004175A IN
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 01066166A IN
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 01036700A IN
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 1062077A IN
Interventional Pain Medicine Physician 208VP0014X 01038163A IN
Interventional Pain Medicine Physician 208VP0014X 01029835A IN
Interventional Pain Medicine Physician 208VP0014X 01055762A IN Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 01055782A IN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 01039387A IN

Addresses

Primary practice location

1101 Professional Blvd
Evansville, IN 47714-8001

Mailing address

6426 Highway 51 N Ste B
Horn Lake, MS 38637-2474
Phone (812) 477-7246

Other practice location 1

6426 Highway 51 N Ste B
Horn Lake, MS 38637-2474
Phone (901) 249-5905

Other practice location 2

8000 Centerview Pkwy Ste 100
Cordova, TN 38018-4289
Phone (901) 249-5905

Other identifiers 2

IdentifierTypeStateIssuer
65942427MedicaidKY
200497580AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, TN, MS4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040506001616 KY Part B Supplier - Clinic/Group Practice 5294724191 Receives reassigned benefits from 4 practitioners
Practice locations: Hopkinsville, KY; Madisonville, KY; Owensboro, KY
O20040902000013 IN Part B Supplier - Clinic/Group Practice 5294724191 Receives reassigned benefits from 3 practitioners
Practice locations: Evansville, IN
O20251205001704 TN Part B Supplier - Clinic/Group Practice 5294724191 Receives reassigned benefits from 4 practitioners
Practice locations: Cordova, TN
O20260131000019 MS Part B Supplier - Clinic/Group Practice 5294724191 Receives reassigned benefits from 3 practitioners
Practice locations: Horn Lake, MS

National Provider Directory

National Provider Directory

Member organizations 10

Organizations listed as members of this organization in the National Provider Directory.

Locations

2330 Lynch Rd
Ste 200
Evansville, IN 47711
Phone (812) 485-6900

5320 Weston Rd
#B
Evansville, IN 47712
Phone 81247772461017

1013 N Main St
Ste 100
Huntingburg, IN 47542

2000 N Elm St
Unit A
Henderson, KY 42420
Phone (270) 869-9900

95 Ymca Dr
Ste 1
Madisonville, KY 42431
Phone (270) 245-8403

2200 E Parrish Ave
Ste LL3
Owensboro, KY 42303

Practitioners & affiliated clinicians

Practitioners 11

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1942378112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 HIGHWAY 51 N STE B",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386372474",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148001",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6426 Highway 51 N Ste B",
            "address_purpose": "LOCATION",
            "city": "Horn Lake",
            "state": "MS",
            "postal_code": "386372474",
            "country_code": "US",
            "telephone_number": "901-249-5905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8000 Centerview Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380184289",
            "country_code": "US",
            "telephone_number": "901-249-5905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PAIN CARE CLINIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "SANAPATI",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-477-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004175A",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IN",
            "license": "01066166A",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IN",
            "license": "01036700A",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IN",
            "license": "1062077A",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01038163A",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01029835A",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01055762A",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01055782A",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01039387A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65942427",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200497580A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

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