Interventional Pain Associates

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

INTERVENTIONAL PAIN ASSOCIATES

Practice address

4824 McMahon Blvd NW Ste 109
Albuquerque, NM 87114-5412

Phone

(210) 464-4234

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Joshu Raiten, MDNPI 1154565539

Title

Owner

Phone

(210) 464-4234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Joshu Alan Raiten, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Albuquerque, NM
  • NPI 1154565539
  Medicare reassignment Care Compare group NPD Authorized official
• Dmitry Garmaev

  • Pain Medicine (Anesthesiology) Physician
  • Farmington, NM
  • NPI 1720321532
  Medicare reassignment Care Compare group NPD
• Nichole Graeber, C-NP

  • Nurse Practitioner
  • Boerne, TX
  • NPI 1871910521

  NM

  Medicare reassignment Care Compare group NPD
• Maria Hultquist

  • Medical Physician Assistant
  • Albuquerque, NM
  • NPI 1073221313
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1053945147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 MCMAHON BLVD NW STE 109",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 MCMAHON BLVD NW STE 109",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145412",
            "telephone_number": "210-464-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "RAITEN",
        "authorized_official_first_name": "JOSHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-464-4234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interlude Lactation LLC
• Internal Medicine of the Southwest
• International Travel Clinic
• Intersectional Wellness
• Intervention & Prevention Network
• Interventional Pain Specialists of New Mexico, P.a.
• Intuitive Therapy LLC
• Inverse Medical, LLC
• Inverse Medical, LLC
• Invision

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.