Interventional Spine and Pain Institute LLC
NPI 1134880487ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Vero Beach, FL
Pain Medicine, Interventional Pain Medicine in Vero Beach, Florida, registered in NPPES in January 2022. The authorized official on file is Phaedra L. Shudra, Credentialing & Contracting Spec. Enrolled in Medicare as dme supplier - physician - interventional pain management and part b supplier - clinic/group practice.
Overview
| NPI | 1134880487 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2022 |
| Last updated in NPPES | Sep 26, 2025 |
| Certified by provider | Sep 26, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Interventional Pain Management (FL); Part B Supplier - Clinic/Group Practice (FL) |
|---|
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