| NPI | 1306280177 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2013-04-24 |
| Last Updated | 2026-03-12 |
| Authorized Official | Jason Lewis President Phone: 5028557200 |
| Mailing Address | Po Box 21890 Belfast, ME 04915-4115 United States Phone: (502) 907-0356 | Fax: (502) 919-9780 📍 View Map |
| Primary Practice Address | 120 Executive Park Louisville, KY 40207 United States Phone: (502) 855-7200 | Fax: (502) 855-7201 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OH | 0300626 | - |
| MEDICAID | IL | 1306280177 | - |
| MEDICAID | NC | 1306280177 | - |
| MEDICAID | IN | 201287400A | - |
| MEDICAID | IN | 201287400B | - |
| MEDICAID | IN | 201287400C | - |
| MEDICAID | IN | 201287400E | - |
| MEDICAID | IN | 300009547 | - |
| MEDICAID | IN | 300012363 | - |
| MEDICAID | IN | 300014863 | - |
| MEDICAID | IN | 300014938 | - |
| MEDICAID | IN | 300026044 | - |
| MEDICAID | IN | 300026415 | - |
| MEDICAID | IN | 300027005 | - |
| MEDICAID | IN | 300050981 | - |
| MEDICAID | IN | 300061140 | - |
| MEDICAID | IN | 300073973 | - |
| MEDICAID | KY | 7100270310 | - |
| MEDICAID | KY | 7100318140 | - |
| MEDICAID | KY | 7100349390 | - |
| MEDICAID | KY | 7100488260 | - |
| MEDICAID | KY | 7100607850 | - |
| MEDICAID | SC | PG2591 | - |
| MEDICAID | SC | PG2642 | - |
| MEDICAID | SC | PG2643 | - |
| MEDICAID | SC | PG2644 | - |
| MEDICAID | TN | Q091113 | - |
| MEDICAID | SC | QPC852 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 225100000X – Physical Therapist | - | - |
| No | 363LA2200X – Nurse Practitioner, Adult Health | - | - |
| No | 363L00000X – Nurse Practitioner | - | - |
| No | 363LF0000X – Nurse Practitioner, Family | - | - |
| No | 207L00000X – Anesthesiology | - | - |
| No | 363AM0700X – Physician Assistant, Medical | - | - |
| No | 208VP0000X – | - | - |
| No | 363A00000X – Physician Assistant | - | - |
| No | 207LP2900X – Anesthesiology, Pain Medicine | - | - |
| No | 367500000X – Nurse Anesthetist, Certified Registered | - | - |
| Yes | 208VP0014X – Pain Medicine, Interventional Pain Medicine | - | - |
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About NPI 1306280177
Commonwealth Pain Associates, Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1306280177. The primary specialty listed is Pain Medicine, Interventional Pain Medicine. The organization is located in Louisville, KY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-04-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1306280177?
NPI 1306280177 belongs to Commonwealth Pain Associates, Pllc, a Pain Medicine, Interventional Pain Medicine in Louisville, KY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1306280177 active?
The current status of NPI 1306280177 in the NPPES registry is Active. The record was last updated on 2026-03-12.
What specialty is NPI 1306280177?
NPI 1306280177 is classified under the taxonomy Pain Medicine, Interventional Pain Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1306280177?
You can verify NPI 1306280177 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1306280177?
The primary practice address on file for NPI 1306280177 is 120 Executive Park, Louisville, KY 40207. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1306280177 issued?
NPI 1306280177 was first issued (enumerated) on 2013-04-24. The NPPES record was last updated on 2026-03-12.
Practice Location Map
Commonwealth Pain Associates, Pllc is located at 120 Executive Park, Louisville, KY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Commonwealth Pain Associates, Pllc. All records sourced from the CMS NPPES registry.