Rajendra Bothra
THE PAIN CENTER USA PLLC


Address: 27423 Van Dyke Ave, Warren, MI 48093-2867
Phone: 5867559855

Rajendra Bothra (NPI# 1497839328, PAC ID# 3072500917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.

Physician Overview

Nation Provider ID (NPI) 1497839328
PAC ID by PECOS 3072500917
Professional Enrollment ID I20040820001100
Full Name Rajendra Bothra
Organization Legal Name THE PAIN CENTER USA PLLC
Address 27423 Van Dyke Ave
Warren
MI 48093-2867
Phone Number 5867559855
Gender M
Credential MD
Graduation Year 1966
Primary Specialty PAIN MANAGEMENT
Group Practice PAC ID 3375530215
Number of Group Practice Members 11
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230195 ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER
230165 ST JOHN HOSPITAL AND MEDICAL CENTER
230019 PROVIDENCE HOSP AND MED CTRS

Other Locations

Address Phone Organization
27423 Van Dyke Ave, Warren, MI 48093-2867 5867559855 THE PAIN CENTER USA PLLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name THE PAIN CENTER USA PLLC
Physicians 10

Physicians with the same organization

Name Specialty Organization Address
Christopher R Russo Anesthesiology The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
Brent C Russell Physician Assistant The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
Tatyana Bezpalko Nurse Practitioner The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
David L Lewis Jr. Anesthesiology The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
Bryce Taylor Anderson Physician Assistant The Pain Center Usa Pllc 22480 Kelly Rd, Suite 1, Eastpointe, MI 48021-2623
Diane B Campbell Nurse Practitioner The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
Ganiu A Edu Anesthesiology The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
Eric N Backos Physical Medicine and Rehabilitation The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
Chantale E Bothuell Podiatry The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867

Office Location

Street Address 27423 VAN DYKE AVE
City WARREN
State MI
Zip 48093-2867

Physicians in the same location

Name Specialty Organization Address
Christopher R Russo Anesthesiology The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
Brent C Russell Physician Assistant The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
Tatyana Bezpalko Nurse Practitioner The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
David L Lewis Jr. Anesthesiology The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
Diane B Campbell Nurse Practitioner The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
Ganiu A Edu Anesthesiology The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
Eric N Backos Physical Medicine and Rehabilitation The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867
Chantale E Bothuell Podiatry The Pain Center Usa Pllc 27423 Van Dyke Ave, Warren, MI 48093-2867

Physicians in the same zip code

Name Specialty Organization Address
Daniel C Aronovitz Podiatry 31730 Hoover Rd B, Warren, MI 48093-1700
Jane E Krasnick Allergy/immunology Warren Allergy and Asthma Care, PC 31730 Hoover Rd A, Warren, MI 48093-1700
Carey C Linden Allergy/immunology Warren Allergy and Asthma Care, PC 31730 Hoover Rd A, Warren, MI 48093-1700
Ogechi Nita Enyioko Nurse Practitioner Doctors Home Line Pllc 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109
Pauline Robinson Nurse Practitioner Doctors Home Line Pllc 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109
Barry C Smith Physician Assistant Doctors Home Line Pllc 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109
Shobha Subramanian General Practice American Home Doctors PC 8200 E 13 Mile Rd, Suite 101, Warren, MI 48093-2171
Dean A Ruble General Practice American Home Doctors PC 8200 E 13 Mile Rd, Suite 101, Warren, MI 48093-2171
Stephanie M Paluda Obstetrics/gynecology Mission Obstetrics and Gynecology P C 11300 E 13 Mile Rd, Suite 4, Warren, MI 48093-2500
Kristen Wuckert Obstetrics/gynecology Mission Obstetrics and Gynecology P C 11300 E 13 Mile Rd, Suite 4, Warren, MI 48093-2500
Find all physicians in zip 48093

Competitor

Search similar physicians

City WARREN
Zip Code 48093
Specialty PAIN MANAGEMENT
City + Specialty WARREN + PAIN MANAGEMENT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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