| Iu Anesthesiology Associates-chronic Pain, Llc | |
|
1701 N Senate Blvd Indianapolis IN 46202-1239 | |
| (317) 274-0256 | |
| Not Available |
| Full Name | Iu Anesthesiology Associates-chronic Pain, Llc |
|---|---|
| Speciality | Pain Medicine |
| Location | 1701 N Senate Blvd, Indianapolis, Indiana |
| Authorized Official Name and Position | David C Adams (ANESTHESIA CHAIR) |
| Authorized Official Contact | 7189204316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iu Anesthesiology Associates-chronic Pain, Llc 250 N Shadeland Ave Indianapolis IN 46219-4959 Ph: (888) 484-3258 | Iu Anesthesiology Associates-chronic Pain, Llc 1701 N Senate Blvd Indianapolis IN 46202-1239 Ph: (317) 274-0256 |
| NPI Number | 1275629313 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 2567567969 |
|---|---|
| Medicare Enrollment ID | O20070413000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275629313 | NPI | - | NPPES |
| 200845440A | Medicaid | IN |
| Provider Name | Joshua R Wellington |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588627251 PECOS PAC ID: 0345209581 Enrollment ID: I20041005000311 |
| Provider Name | Ahmed Ibrahim Elsahy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407805690 PECOS PAC ID: 5294830477 Enrollment ID: I20070417000286 |
| Provider Name | Robert T Hill |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1235267675 PECOS PAC ID: 2163520099 Enrollment ID: I20070531000152 |
| Provider Name | David R Okano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134308372 PECOS PAC ID: 0749353480 Enrollment ID: I20080714000588 |
| Provider Name | Michael R Dorwart |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225243892 PECOS PAC ID: 0143407221 Enrollment ID: I20110527000463 |
| Provider Name | Susan Elizabeth Atkin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013037316 PECOS PAC ID: 5890978043 Enrollment ID: I20150507001095 |
| Provider Name | Raheleh Rahimi Darabad |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1265791834 PECOS PAC ID: 5395035679 Enrollment ID: I20170815000156 |
| Provider Name | Adam Michael Ellis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1164836458 PECOS PAC ID: 2961793054 Enrollment ID: I20190618002364 |
| Provider Name | Sachin Vimal Bahadur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023458999 PECOS PAC ID: 9830333517 Enrollment ID: I20210901000103 |
| Provider Name | Jie Xie |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1376923359 PECOS PAC ID: 6204147838 Enrollment ID: I20220524002044 |
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