Interventional Spine and Pain Institute LLC
NPI 1396526901 · Interventional Pain Medicine Physician · Palm Bay, FL
Enrolled with Medicare as Dme Supplier - Physician - Interventional Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Interventional Spine and Pain Institute LLC is a Interventional Pain Medicine Physician organization in Palm Bay, FL (NPI 1396526901).
Provider details
- NPI number
- 1396526901
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Phaedra Shudra, Credentialing and Contracting Speci(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
2 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
Mailing address
Registry dates
- Enumerated
- 2023-10-10
- 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 1396526901, 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 5200 Babcock St Ne Ste 111, Palm Bay, FL 32905-4639.
- 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 (772) 360-1997.
- 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 and Contracting Speci. 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 (1396526901) 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.