INTERVENTIONAL PAIN MANAGEMENT NPI 1710018247

NPI Information

  • NPI: 1710018247
  • Provider Name: INTERVENTIONAL PAIN MANAGEMENT
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 26D2082447
  • Address: 261 DUNN RD
    FLORISSANT, MO
    ZIP 63031
  • Phone: (314) 450-8810

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NPI Details

INTERVENTIONAL PAIN MANAGEMENT is an interventional pain medicine pain medicine in Florissant, MO. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. INTERVENTIONAL PAIN MANAGEMENT NPI is 1710018247. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

261 DUNN RD
FLORISSANT, MO
ZIP 63031-928
Phone: (314) 450-8810
Fax: (314) 678-0583

The provider's authorized official is Mahendra Gunapooti .
The authorized official title is President and has the following contact phone number (314) 830-2600.

The CLIA number assigned to this NPI record is 26D2082447 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 6/30/2017.

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
1208VP0014XPain MedicineInterventional Pain Medicine036112334ILLINOISYes

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
1210751MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
26032125OTHERILLINOISBLUE CROSS BLUE SHIELD
3000014465MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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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