ADVANCED PAIN MANAGEMENT OF ARIZONA PC — NPI 1780548032 (Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) in TEMPE, AZ)

CMS-1500 Box 24J / 33a • NPI

1780548032

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2084A2900X (CMS 13)

Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)

Box 32 Service Location & ZIP+4

2121 S MILL AVE STE 101, TEMPE, AZ, 85282-2106

✓ 9-Digit EDI 837 ZIP+4 (85282-2106)

Practice Phone & Referral Fax

(480) 605-9700

Fax: (480) 605-9700

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1780548032 (ADVANCED PAIN MANAGEMENT OF ARIZONA 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	`1780548032` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED PAIN MANAGEMENT OF ARIZONA PC
Plain-English Specialty	Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: `2084A2900X` (Psychiatry & Neurology, Neurocritical Care)
Certifying / Licensing Body	American Board of Psychiatry and Neurology (ABPN)
Practice Location Address	2121 S MILL AVE STE 101, TEMPE, AZ, 85282-2106
Practice Telephone / Fax	Tel: (480) 605-9700 \| Fax: (480) 605-9700
Administrative Mailing Address	11522 MANCHESTER WAY, PORTER RANCH, CA, 91326-2459
Enumeration & Last Sync	Enumerated: 2025-12-11 \| CMS Record Updated: 2026-02-09
Authorized Official	MANRAJ KHOSLA (MEDICAL DIRECTOR / OWNER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2121 S MILL AVE STE 101, TEMPE, AZ, 85282-2106

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Plain-English Taxonomy & CMS Crosswalk (2084A2900X)

What Does Taxonomy Code 2084A2900X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084A2900X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 13 (Physician/Neurology)
Certifying / Accrediting Authority: American Board of Psychiatry and Neurology (ABPN)
Clinical Scope: Stroke recovery, chronic or severe migraines, seizures, numbness/tingling in hands or feet (neuropathy), tremors, memory loss, or suspected CSF leak.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED PAIN MANAGEMENT OF ARIZONA PC)

Typical CPT / Diagnostic Procedures:

Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
Electromyography (EMG) & Nerve Conduction Studies (NCS)
Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review

Common Therapeutic Classes:

CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
Antiplatelet & Secondary Stroke Prevention Regimens

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QP3300X` — Clinic/Center, Pain Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`2084A2900X` — Psychiatry & Neurology, Neurocritical Care Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED PAIN MANAGEMENT OF ARIZONA PC (NPI #1780548032)