NPIMap

Organization Active NPI

Pain Experts of Arizona PC

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1972312809
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN EXPERTS OF ARIZONA PC
Practice address
10213 N 92ND St Ste 101
Scottsdale, AZ 85258-4561
Phone
(480) 550-9393
NPI assigned
Jan 6, 2025
Organization subpart
Yes
Parent organization
PAIN EXPERTS OF ARIZONA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Ahdev Kuppusamy, MDNPI 1982994745
Title
Owner
Phone
(480) 550-9393

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

10213 N 92ND St Ste 101
Scottsdale, AZ 85258-4561

Mailing address

PO Box 29650
Phoenix, AZ 85038-9650
Phone (480) 550-9393

National Provider Directory

National Provider Directory
Part of
Pain Experts of Arizona PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1972312809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "480-550-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10213 N 92ND ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584561",
            "telephone_number": "480-550-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN EXPERTS OF ARIZONA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN EXPERTS OF ARIZONA PC",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "KUPPUSAMY",
        "authorized_official_first_name": "AHDEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-550-9393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.