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Maryland Pain & Regenerative Center, LLC

NPI 1104467463ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Waldorf, MD

Pain Medicine, Interventional Pain Medicine in Waldorf, Maryland, registered in NPPES in October 2019. The authorized official on file is Ritu Varma, MD, Owner/Physician. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1104467463
StatusActive
Entity typeOrganization
NPI issuedOct 7, 2019
Last updated in NPPESMay 1, 2026
Certified by providerMay 1, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pain Medicine, Interventional Pain Medicine Primary208VP0014X——
Anesthesiology, Pain Medicine207LP2900X——
Family Medicine207Q00000X——
Internal Medicine207R00000X——
Internal Medicine, Geriatric Medicine207RG0300X——
General Practice208D00000X——
Pain Medicine, Pain Medicine208VP0000X——
Physical Therapist225100000X——
Nurse Anesthetist, Certified Registered367500000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (VA)

Medicare sources and data years

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