Advanced Spine and Pain LLC
NPI 1629679923 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Mesa, AZ
Enrolled with Medicare as Dme Supplier - Physician - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Spine and Pain LLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Mesa, AZ (NPI 1629679923).
Provider details
- NPI number
- 1629679923
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jarrett Leathem, MD, Owner(860) 670-2412
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2020-11-03
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Frequently asked questions
- What is Advanced Spine and Pain LLC's NPI number?
- Advanced Spine and Pain LLC's National Provider Identifier (NPI) is 1629679923, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Spine and Pain LLC?
- Advanced Spine and Pain LLC is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Spine and Pain LLC located?
- Advanced Spine and Pain LLC's practice location on file with NPPES is 4566 E Inverness Ave Ste 205, Mesa, AZ 85206-4634.
- What is Advanced Spine and Pain LLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Spine and Pain LLC is (480) 640-0513.
- Does Advanced Spine and Pain LLC accept Medicare?
- Advanced Spine and Pain 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 Advanced Spine and Pain LLC?
- The authorized official listed on Advanced Spine and Pain LLC's NPPES record is Jarrett Leathem, MD, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Spine and Pain LLC's NPI active?
- Yes — Advanced Spine and Pain LLC's NPI (1629679923) is active in the NPPES registry as of the last update on 2021-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.