Midwest Sports and Interventional Spine SC
NPI 1831770510ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Kenosha, WI
Pain Medicine, Interventional Pain Medicine in Kenosha, Wisconsin, registered in NPPES in April 2021. The authorized official on file is Cyril N. Philip, MD, Owner. Enrolled in Medicare as dme supplier - physician - anesthesiology and part b supplier - clinic/group practice.
Overview
| NPI | 1831770510 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2021 |
| Last updated in NPPES | Oct 1, 2025 |
| Certified by provider | Oct 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
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 DME Supplier - Physician - Anesthesiology (WI); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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