Organization Active NPI

Painalgia Relief Center LLC

  • Pain Clinic/Center
  • Clermont, FL
National Provider Identifier
1003352592
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PAINALGIA RELIEF CENTER LLC
Practice address
240 Mohawk Rd
Clermont, FL 34715
Phone
(407) 531-8069
Fax
(407) 386-3212
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Thierry Saint-Elie, MDNPI 1902019979
Title
Physician
Phone
(407) 531-8069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X FL Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

240 Mohawk Rd
Clermont, FL 34715

Mailing address

PO Box 720696
Orlando, FL 32872-0696
Phone (407) 531-8069

Other practice location 1

1405 S Orange Ave Ste 306
Orlando, FL 32806-2130
Phone (407) 531-8069

Other identifiers 1

IdentifierTypeStateIssuer
014743000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170328002479 FL Part B Supplier - Clinic/Group Practice 5294010534 Receives reassigned benefits from 1 practitioner
Practice locations: Minneola, FL; Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2133052Painalgia Relief Center LLC240 Mohawk Road, Clermont, FL 34715Certificate of waiverJul 4, 2027
10D2188439Painalgia Relief Center LLC1405 South Orange Avenue Suite 306, Orlando, FL 32806Certificate of waiverJul 15, 2028

National Provider Directory

National Provider Directory

Locations

3195 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 241-9700

240 Mohawk Rd
Minneola, FL 34715
Phone (407) 531-8069

1405 S Orange Ave
Ste 306
Orlando, FL 32806
Phone (407) 531-8069

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15817/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1003352592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720696",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328720696",
            "telephone_number": "407-531-8069",
            "fax_number": "407-386-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MOHAWK RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34715",
            "telephone_number": "407-531-8069",
            "fax_number": "407-386-3212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 S Orange Ave Ste 306",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062130",
            "country_code": "US",
            "telephone_number": "407-531-8069",
            "fax_number": "407-386-3212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAINALGIA RELIEF CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "SAINT-ELIE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "THIERRY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-531-8069",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014743000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.