Interventional Spine and Pain Institute LLC
NPI 1134880487 · Interventional Pain Medicine Physician · Vero Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Interventional Spine and Pain Institute LLC is a Interventional Pain Medicine Physician organization in Vero Beach, FL (NPI 1134880487).
Provider details
- NPI number
- 1134880487
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Phaedra Shudra, Credentialing & Contracting Spec(813) 785-4861
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 6559 N Wickham RdMelbourne, FL 32940-2052Phone: (772) 360-1997Fax: (772) 492-3541
- 5200 Babcock St Ne Ste 111Palm Bay, FL 32905-4639Phone: (772) 360-1997Fax: (772) 492-3541
Registry dates
- Enumerated
- 2022-01-07
- Last updated
- 2025-09-26
- Certified
- 2025-09-26
Frequently asked questions
- What is Interventional Spine and Pain Institute LLC's NPI number?
- Interventional Spine and Pain Institute LLC's National Provider Identifier (NPI) is 1134880487, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Interventional Spine and Pain Institute LLC?
- Interventional Spine and Pain Institute LLC is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Interventional Spine and Pain Institute LLC located?
- Interventional Spine and Pain Institute LLC's practice location on file with NPPES is 777 37th St Ste C101, Vero Beach, FL 32960-7301.
- What is Interventional Spine and Pain Institute LLC's phone number?
- The practice phone number listed in the NPPES registry for Interventional Spine and Pain Institute LLC is (908) 303-8044.
- Does Interventional Spine and Pain Institute LLC accept Medicare?
- Interventional Spine and Pain Institute LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Interventional Spine and Pain Institute LLC?
- The authorized official listed on Interventional Spine and Pain Institute LLC's NPPES record is Phaedra Shudra, Credentialing & Contracting Spec. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Interventional Spine and Pain Institute LLC's NPI active?
- Yes — Interventional Spine and Pain Institute LLC's NPI (1134880487) is active in the NPPES registry as of the last update on 2025-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.