Organization Active NPI

Anthem Pain Management, LLC

  • Health Maintenance Organization
  • Anthem, AZ
National Provider Identifier
1972910990
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
AP3009 Issued in AZ
Legal business name
ANTHEM PAIN MANAGEMENT, LLC
Practice address
41818 N Venture Dr Ste 150
Anthem, AZ 85086-3190
Phone
(623) 341-8469
Fax
(623) 551-6900
NPI assigned
Jul 22, 2014
Last updated
Dec 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Keith R Sutton, FNPNPI 1487877296
Title
Family Nurse Practitioner
Phone
(623) 341-8469

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
Health Maintenance Organization 302R00000X AP3009 AZ Primary

Addresses

Primary practice location

41818 N Venture Dr Ste 150
Anthem, AZ 85086-3190

Mailing address

41818 N Venture Dr Ste 150
Anthem, AZ 85086-3190
Phone (716) 812-6664

Other identifiers 2

IdentifierTypeStateIssuer
AP3009OtherAZAZ NP LICENSE
506568MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141008001836 AZ Part B Supplier - Clinic/Group Practice 2466672720 Receives reassigned benefits from 1 practitioner
Practice locations: Anthem, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2081862Anthem Pain Management41818 N Venture Dr, Ste 150, Anthem, AZ 85086Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11503/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1972910990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41818 N VENTURE DR STE 150",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863190",
            "telephone_number": "716-812-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41818 N VENTURE DR STE 150",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863190",
            "telephone_number": "623-341-8469",
            "fax_number": "623-551-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "623-341-8469",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "AP3009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ NP LICENSE",
            "identifier": "AP3009",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506568",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.