Interventional Spine and Pain Institute LLC
NPI 1093695504ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Melbourne, FL
Pain Medicine, Interventional Pain Medicine in Melbourne, Florida, registered in NPPES in September 2025. The authorized official on file is Phaedra L. Shudra, Credentialing And Contracting Speci. Enrolled in Medicare as dme supplier - physician - interventional pain management.
Overview
| NPI | 1093695504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2025 |
| Last updated in NPPES | Sep 26, 2025 |
| Certified by provider | Sep 26, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Interventional Pain Management (FL) |
|---|
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