The Center for Pain and Supportive Care P L L C
NPI 1104009265ActiveOrganization· Pain Medicine, Pain Medicine· Phoenix, AZ
Pain Medicine, Pain Medicine in Phoenix, Arizona, registered in NPPES in December 2007. The authorized official on file is Gobi Paramanandam, Member Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104009265 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2007 |
| Last updated in NPPES | Mar 25, 2025 |
| Certified by provider | Mar 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Pain Medicine Primary | 208VP0000X | 24521 | AZ |
| Anesthesiology, Hospice and Palliative Medicine | 207LH0002X | 24521 | AZ |
| Anesthesiology, Pain Medicine | 207LP2900X | 24521 | AZ |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | 24521 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
Other Pain Medicine, Pain Medicine providers in Phoenix
- 1114257110
- 1225292634
- 1316382583
- 1548632623
- 1548896483
- 1568677706
- 1972965168
- 1417211921
- 1063075570
- 1437897071
- 1518540228
- 1083069694
All 32 Pain Medicine, Pain Medicine providers in Phoenix · All Pain Medicine, Pain Medicine providers in Arizona