Pain Management 360 LLC
NPI 1821717711ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Huntington, WV
Pain Medicine, Interventional Pain Medicine in Huntington, West Virginia, registered in NPPES in August 2022. The authorized official on file is Rudy Malayil, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1821717711 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 24, 2022 |
| Last updated in NPPES | Apr 26, 2024 |
| Certified by provider | Feb 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
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 Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (WV) |
|---|
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