ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC — NPI 1457035511 (Board-Certified Anesthesiologist & Interventional Pain Specialist in LA PORTE, IN)

CMS-1500 Box 24J / 33a • NPI

1457035511

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207LP2900X (CMS 05)

Board-Certified Anesthesiologist & Interventional Pain Specialist

Box 32 Service Location & ZIP+4

500 LEGACY PLZ W, LA PORTE, IN, 46350-5254

✓ 9-Digit EDI 837 ZIP+4 (46350-5254)

Practice Phone & Referral Fax

(219) 575-7578

Fax: (219) 575-7186

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1457035511 (ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1457035511` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC
Plain-English Specialty	Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: `207LP2900X` (Anesthesiology, Pain Medicine)
Certifying / Licensing Body	American Board of Anesthesiology (ABA)
Practice Location Address	500 LEGACY PLZ W, LA PORTE, IN, 46350-5254
Practice Telephone / Fax	Tel: (219) 575-7578 \| Fax: (219) 575-7186
Administrative Mailing Address	11456 S. BROADWAY, CROWN POINT, IN, 46307-7106
Enumeration & Last Sync	Enumerated: 2023-06-09 \| CMS Record Updated: 2025-01-27
Authorized Official	SHEEL PATEL (CMO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

500 LEGACY PLZ W, LA PORTE, IN, 46350-5254

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Plain-English Taxonomy & CMS Crosswalk (207LP2900X)

What Does Taxonomy Code 207LP2900X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207LP2900X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 05 (Physician/Anesthesiology)
Certifying / Accrediting Authority: American Board of Anesthesiology (ABA)
Clinical Scope: Pre-surgical anesthesia evaluation, obstetric labor epidural care, or interventional spine and nerve block procedures for chronic pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC)

Typical CPT / Diagnostic Procedures:

General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks

Common Therapeutic Classes:

Propofol, Sevoflurane, Rocuronium & Sugammadex
Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207LP2900X` — Anesthesiology, Pain Medicine Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`208VP0014X` — Pain Medicine, Interventional Pain Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine	State: N/A \| License: `Verified` \| Primary: Secondary
`261QP3300X` — Clinic/Center, Pain Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC (NPI #1457035511)