ADVANCED INTERVENTIONAL PAIN SURGERY CENTER LLC NPI 1376092205

NPI Information

  • NPI: 1376092205
  • Provider Name: ADVANCED INTERVENTIONAL PAIN SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1717 MALVERN AVENUE
    HOT SPRINGS, AR
    ZIP 71913
  • Phone: (501) 321-4772

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NPI Details

ADVANCED INTERVENTIONAL PAIN SURGERY CENTER LLC is an ambulatory surgical clinic center in Hot Springs, AR. ADVANCED INTERVENTIONAL PAIN SURGERY CENTER LLC NPI is 1376092205. The provider is registered as an organization entity type.

The provider's business location address is:

1717 MALVERN AVENUE
HOT SPRINGS, AR
ZIP 71913-442
Phone: (501) 321-4772
Fax: (501) 321-2945

The provider's authorized official is Jacob Edathara Abraham .
The authorized official title is President and has the following contact phone number (501) 655-1335.

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 lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Destruction of nerves supplying joint between spine and pelvis using imaging guidance (HCPCS:64625)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance (HCPCS:64451)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)
  • Injection of anesthetic agent and/or steroid into upper neck and back of head nerve (HCPCS:64405)
  • Destruction of nerve branches of knee using imaging guidance (HCPCS:64624)

The enumeration date for this NPI number is 10/4/2016 and was last updated on 10/4/2016.

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 SurgicalYes

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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