NPI Lens

Pain and Spine Specialists of Maryland, LLC

NPI 1174884258ActiveOrganization· Specialist· Mount Airy, MD

Specialist in Mount Airy, Maryland, registered in NPPES in June 2012. The authorized official on file is Sudhir Rao, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1174884258
StatusActive
Entity typeOrganization
NPI issuedJun 5, 2012
Last updated in NPPESNov 6, 2025
Certified by providerNov 6, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X—MD
Counselor, Addiction (Substance Use Disorder)101YA0400X——
Counselor, Professional101YP2500X——
Psychologist, Addiction (Substance Use Disorder)103TA0400X——
Psychologist, Clinical103TC0700X——
Anesthesiology, Pain Medicine207LP2900X——
Pain Medicine, Pain Medicine208VP0000X——
Pain Medicine, Interventional Pain Medicine208VP0014X——
Nurse Practitioner, Psych/Mental Health363LP0808X——

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 (DE); Part B Supplier - Clinic/Group Practice (FL); DME Supplier - Physician - Interventional Pain Management (MD); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (VA)

Medicare sources and data years

Other Specialist providers in Mount Airy

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