The Center for Pain and Supportive Care P L L C
NPI 1104009265 · Pain Medicine Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Center for Pain and Supportive Care P L L C is a Pain Medicine Physician organization in Phoenix, AZ (NPI 1104009265).
Provider details
- NPI number
- 1104009265
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gobi Paramanandam, Member Manager(480) 889-0180
- License
- 24521 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 9242 W Union Hills Dr Bldg D100-101Peoria, AZ 85382-8218Phone: (480) 889-0180Fax: (480) 889-0186
Registry dates
- Enumerated
- 2007-12-12
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Frequently asked questions
- What is The Center for Pain and Supportive Care P L L C's NPI number?
- The Center for Pain and Supportive Care P L L C's National Provider Identifier (NPI) is 1104009265, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Center for Pain and Supportive Care P L L C?
- The Center for Pain and Supportive Care P L L C is classified in the NPPES registry as Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is The Center for Pain and Supportive Care P L L C located?
- The Center for Pain and Supportive Care P L L C's practice location on file with NPPES is 4611 E. Shea Blvd. Bldg. 3, Phoenix, AZ 85028-4258.
- What is The Center for Pain and Supportive Care P L L C's phone number?
- The practice phone number listed in the NPPES registry for The Center for Pain and Supportive Care P L L C is (480) 889-0180.
- Does The Center for Pain and Supportive Care P L L C accept Medicare?
- The Center for Pain and Supportive Care P L L C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Center for Pain and Supportive Care P L L C?
- The authorized official listed on The Center for Pain and Supportive Care P L L C's NPPES record is Gobi Paramanandam, Member Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Center for Pain and Supportive Care P L L C's NPI active?
- Yes — The Center for Pain and Supportive Care P L L C's NPI (1104009265) is active in the NPPES registry as of the last update on 2025-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.