Interventional Spine and Joint Specialists, LLC
Interventional Spine and Joint Specialists, LLC is a healthcare organization registered as Interventional Pain Medicine Physician in Munster, IN, holding Type 2 (organization) NPI 1104387521 since 2019. The authorized official on file is Prasanth Nuthakki, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104387521 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Interventional Spine and Joint Specialists, LLC |
| Practice address | 701 SUPERIOR AVE STE B, Munster, IN, 46321 |
| Phone | 2193334757 |
| Enumeration date | 2019-03-28 |
| Last updated in NPPES | 2020-12-09 |
Authorized official
| Name | Prasanth Nuthakki |
|---|---|
| Title | Ceo |
| Phone | 2198360296 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 204R00000X | Electrodiagnostic Medicine Physician | Secondary | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | Secondary | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | Secondary | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Interventional Spine and Joint Specialists, LLC NPI: 1104387521 Taxonomy: 208VP0014X (Interventional Pain Medicine Physician) Address: 701 SUPERIOR AVE STE B, Munster, IN, 46321
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114046455 | Prasanth Nuthakki | Individual | Interventional Pain Medicine Physician | Munster, IN |
| 1417729377 | Kaitlin Fry | Individual | Nurse Practitioner | Munster, IN |
Verify this record
Cross-check NPI 1104387521 against the authoritative CMS record: view Interventional Spine and Joint Specialists, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Interventional Spine and Joint Specialists, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-12-09.