{
  "npi": "1194908863",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "VIKRAM",
    "authorized_official_last_name": "PATEL",
    "authorized_official_middle_name": "B",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8474267516",
    "authorized_official_title_or_position": "OWNER / PROVIDER",
    "enumeration_date": "2007-12-17",
    "last_updated": "2009-03-04",
    "organization_name": "ACMI PAIN CARE LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 1053",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BEDFORD PARK",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "604991053",
      "state": "IL",
      "telephone_number": "727-823-2188"
    },
    {
      "address_1": "1479 COMMERCE DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ALGONQUIN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "601025916",
      "state": "IL",
      "telephone_number": "847-426-7516"
    }
  ],
  "taxonomies": [
    {
      "code": "207L00000X",
      "desc": "Anesthesiology",
      "license": "036099069",
      "primary": false,
      "state": "IL",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208VP0014X",
      "desc": "Pain Medicine, Interventional Pain Medicine",
      "license": "'036099069",
      "primary": true,
      "state": "IL",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "09",
        "medicare_type": "Physician/Interventional Pain Management"
      }
    ]
  }
}