PAIN CARE SURGERY PC NPI 1184690570

NPI Information

  • NPI: 1184690570
  • Provider Name: PAIN CARE SURGERY, PC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 108 AIRWAY DR
    MARION, IL
    ZIP 62959
  • Phone: (618) 997-7820

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NPI Details

PAIN CARE SURGERY, PC is an ambulatory surgical clinic center in Marion, IL. PAIN CARE SURGERY, PC NPI is 1184690570. The provider is registered as an organization entity type.

The provider's business location address is:

108 AIRWAY DR
MARION, IL
ZIP 62959-841
Phone: (618) 997-7820
Fax: (618) 997-6721

The provider's authorized official is Laxmaiah Manchikanti .
The authorized official title is Medical Director and has the following contact phone number (618) 997-7820.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of anesthetic agent and/or steroid into rib nerve (HCPCS:64420)
  • Injection of anesthetic agent and/or steroid into multiple rib nerves for regional nerve block (HCPCS:64421)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)

The enumeration date for this NPI number is 2/24/2006 and was last updated on 10/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical7002900ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100812OTHERILLINOISHEALTH ALLIANCE
2BC#50386OTHERILLINOISBLUE CROSS/BLUE SHIELD
3211007MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICAR
4=========6295901MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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