OrganizationActive
Pain Management Medicine
NPI 1124578703 · Pain Clinic/Center · Lexington, KY
Provider details
- NPI number
- 1124578703
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Danesh Mazloomdoost, President(859) 275-4878
- License
- TC537 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES 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
715 Shaker Dr
Suite 132
Lexington, KY 40504-3662
Phone: (859) 275-4878
Street-level locationGet directions
Mailing address
725 Shaker Driv
Lexington, KY 40504
Registry dates
- Enumerated
- 2016-10-07
- Last updated
- 2016-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.