NPIMap

Organization Active NPI

Kentuckiana Pain Specialists PSC

Doing business as Kentuckiana Pain Specialists

  • Interventional Pain Medicine Physician
  • Louisville, KY
National Provider Identifier
1992978365
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
KENTUCKIANA PAIN SPECIALISTS PSC
Doing business as
Kentuckiana Pain Specialists
Practice address
3710 Chamberlain LN Ste a
Louisville, KY 40241-2002
Phone
(502) 995-4004
Fax
(502) 933-5559
NPI assigned
Apr 8, 2008
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Ms. Radhika NairNPI 1285119339
Title
Practice Administrator
Phone
(502) 299-4005

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
Durable Medical Equipment & Medical Supplies 332B00000X 6922560001 KY
Pharmacy 333600000X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

3710 Chamberlain LN Ste a
Louisville, KY 40241-2002

Mailing address

PO Box 24261
Louisville, KY 40224-0261
Phone (502) 995-4004

Other practice location 1

650 W Lincoln Trail Blvd
Radcliff, KY 40160-2681
Phone (502) 995-4004

Other names 1

  • Kentuckiana Pain Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031112000252 KY Part B Supplier - Clinic/Group Practice 3577476878 Receives reassigned benefits from 2 practitioners
Practice locations: Elizabethtown, KY; Louisville, KY
O20131206000497 KY DME Supplier - Physician - AnesthesiologyDME Supplier - Physician - Interventional Pain Management 3577476878 Practice locations: Louisville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992978365. Details of each certification follow.

Ambulatory surgical center certification: CCN 18C0001051

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KENTUCKIANA PAIN SPECIALISTS AMBULATORY SURGERY CE
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Nov 18, 2018
Last certification
Nov 18, 2018
Ownership / control type
Proprietary
Facility address
3710 Chamberlain Lane, Suite B
Louisville, KY 40241

Other NPIs with the same Medicare PAC ID 1

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

2831 S Hurstbourne Pkwy
Ste A
Louisville, KY 40220
Phone (502) 915-8343

3710 Chamberlain Ln
Ste A
Louisville, KY 40241
Phone (502) 299-4004

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1992978365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24261",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402240261",
            "telephone_number": "502-995-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 CHAMBERLAIN LN STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412002",
            "telephone_number": "502-995-4004",
            "fax_number": "502-933-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 W Lincoln Trail Blvd",
            "address_purpose": "LOCATION",
            "city": "Radcliff",
            "state": "KY",
            "postal_code": "401602681",
            "country_code": "US",
            "telephone_number": "502-995-4004",
            "fax_number": "502-933-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENTUCKIANA PAIN SPECIALISTS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "502-299-4005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "6922560001",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentuckiana Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.