NPIMap

Organization Active NPI

Pain Management Centers of America, PSC

  • Interventional Pain Medicine Physician
  • Evansville, IN
National Provider Identifier
1992271811
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN MANAGEMENT CENTERS OF AMERICA, PSC
Practice address
1101 Professional Blvd
Evansville, IN 47714-8016
Phone
(812) 477-7246
Fax
(812) 477-7240
NPI assigned
Oct 18, 2018
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Mahendra Rama Sanapati, MDNPI 1154325959
Title
Presidentr
Phone
(812) 573-1207

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU
Family Nurse Practitioner 363LF0000X NU
Psychiatry Physician 2084P0800X NU
Pain Medicine Physician 208VP0000X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

1101 Professional Blvd
Evansville, IN 47714-8016

Mailing address

1101 Professional Blvd Ste 100
Evansville, IN 47714-8018
Phone (812) 477-7246

Other practice location 1

67 Lakeview Dr
Paducah, KY 42001-5619
Phone (270) 554-8373

Other practice location 2

3332 Villa Pt Ste 104
Owensboro, KY 42303-7818
Phone (270) 684-5679

Other practice location 3

112 Keeton Dr
Hopkinsville, KY 42240-8756
Phone (270) 881-4150

Other practice location 4

108 Airway Dr
Marion, IL 62959-5841
Phone (618) 997-7820

Other practice location 5

200 Clinic Dr Fl 3
Madisonville, KY 42431-1661
Phone (812) 477-7246

Other practice location 6

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

Other practice location 7

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

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.healthfusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, TN, IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20181213000858 IN Part B Supplier - Clinic/Group Practice 2769727114 Receives reassigned benefits from 27 practitioners
Practice locations: Vincennes, IN; New Albany, IN; Evansville, IN
O20190205002506 KY Part B Supplier - Clinic/Group Practice 2769727114 Receives reassigned benefits from 43 practitioners
Practice locations: Paducah, KY; Owensboro, KY; Murray, KY; Madisonville, KY; Louisville, KY; Hopkinsville, KY
O20190408000055 TN Part B Supplier - Clinic/Group Practice 2769727114 Receives reassigned benefits from 8 practitioners
Practice locations: Collierville, TN; Cordova, TN
O20190411001299 IL Part B Supplier - Clinic/Group Practice 2769727114 Receives reassigned benefits from 6 practitioners
Practice locations: Marion, IL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

108 Airway Dr
Marion, IL 62959
Phone (270) 554-8373

1425 State St
#221
New Albany, IN 47150
Phone (812) 949-1223

6400 Dutchmans Pkwy
Ste 60
Louisville, KY 40205
Phone (502) 791-8700

200 Clinic Dr
Fl 3
Madisonville, KY 42431
Phone (270) 825-7214

2200 E Parrish Ave
#103
Owensboro, KY 42303
Phone (270) 485-3772

67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373

8001 Centerview Pkwy
Ste 215
Cordova, TN 38018
Phone (901) 249-5905

Practitioners & affiliated clinicians

Practitioners 60

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.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1992271811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL BLVD STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148018",
            "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": "477148016",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420015619",
            "country_code": "US",
            "telephone_number": "270-554-8373",
            "fax_number": "812-554-8987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3332 Villa Pt Ste 104",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423037818",
            "country_code": "US",
            "telephone_number": "270-684-5679",
            "fax_number": "270-684-5753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Keeton Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422408756",
            "country_code": "US",
            "telephone_number": "270-881-4150",
            "fax_number": "270-881-4151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Airway Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629595841",
            "country_code": "US",
            "telephone_number": "618-997-7820",
            "fax_number": "618-997-6721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Clinic Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424311661",
            "country_code": "US",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240",
            "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"
        },
        {
            "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": "PAIN MANAGEMENT CENTERS OF AMERICA, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "SANAPATI",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_middle_name": "RAMA",
        "authorized_official_title_or_position": "PRESIDENTR",
        "authorized_official_telephone_number": "812-573-1207",
        "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": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.healthfusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "67 Lakeview Dr",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420015619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 11, 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.