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NPI · 1629447719 · NPPES-sourced

Great Lakes Interventional Pain Management, PLLC

ActivePain Medicine (Physical Medicine & Rehabilitation) Physician
NPI Number
1629447719
Type 2 · Organisation
Contact
(810) 230-1210
License MI · 4301085040
Last Updated
Enumerated
Primary practice addressMI · 48532-3428
1311 S Linden Rd, Suite AFlint, MI 48532-3428
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About this NPIWhat this record shows.

NPI 1629447719 is registered to Great Lakes Interventional Pain Management, PLLC, a healthcare organisation classified as "Pain Medicine (Physical Medicine & Rehabilitation) Physician" and located at 1311 S Linden Rd, Suite A in Flint, Michigan. The organisation's authorised official is Kavitha Reddy. The organisation has been enumerated in the NPI registry since 2015.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1174515084MI· Issued by NPI

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Great Lakes Interventional Pain Management, PLLC accepts. To confirm in-network status with your specific health plan, contact Great Lakes Interventional Pain Management, PLLC directly at (810) 230-1210.

Frequently asked

Yes. NPI 1629447719 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (810) 230-1210.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Great Lakes Interventional Pain Management, PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy2081P2900X
Last updated
Enumerated
StatusActive
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