OrganizationActive
Ideal Pain Management, LLC
NPI 1053259648 · Interventional Pain Medicine Physician · Severna Park, MD
Provider details
- NPI number
- 1053259648
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Papenfuhs, Billing Manager(703) 522-2727
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 Governor Ritchie Hwy Ste K
Severna Park, MD 21146-2953
Phone: (703) 522-2727
Fax: (703) 542-3753
Street-level locationGet directions
Mailing address
217 E Churchville Rd
Bel Air, MD 21014-3825
Registry dates
- Enumerated
- 2026-03-24
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.