Great Lakes Interventional Pain Management,pllc
NPI 1629447719 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Flint, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Interventional Pain Management,pllc is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Flint, MI (NPI 1629447719).
Provider details
- NPI number
- 1629447719
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kavitha Reddy, Physician(810) 410-5148
- License
- 4301085040 (MI)
Specialties & taxonomies
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081P2900XLicense 4301085040 (MI)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2015-09-18
- Last updated
- 2016-11-17
Frequently asked questions
- What is Great Lakes Interventional Pain Management,pllc's NPI number?
- Great Lakes Interventional Pain Management,pllc's National Provider Identifier (NPI) is 1629447719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Interventional Pain Management,pllc?
- Great Lakes Interventional Pain Management,pllc is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Interventional Pain Management,pllc located?
- Great Lakes Interventional Pain Management,pllc's practice location on file with NPPES is 1311 S Linden Rd, Flint, MI 48532-3428.
- What is Great Lakes Interventional Pain Management,pllc's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Interventional Pain Management,pllc is (810) 230-1210.
- Does Great Lakes Interventional Pain Management,pllc accept Medicare?
- Great Lakes Interventional Pain Management,pllc 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 Great Lakes Interventional Pain Management,pllc?
- The authorized official listed on Great Lakes Interventional Pain Management,pllc's NPPES record is Kavitha Reddy, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Interventional Pain Management,pllc's NPI active?
- Yes — Great Lakes Interventional Pain Management,pllc's NPI (1629447719) is active in the NPPES registry as of the last update on 2016-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.