Dr R Anesthesia & Pain Management PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DR R ANESTHESIA & PAIN MANAGEMENT PA

Doing business as

Institute of Interventional Pain Management

Practice address

2504 W Main St Ste H
Russellville, AR 72801-2536

Phone

(479) 967-7770

Fax

(479) 967-7772

NPI assigned

Jun 4, 2020

Organization subpart

No

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

Authorized official

Name

Ahmad RafiNPI 1285671487

Title

Owner

Phone

(501) 952-9119

Specialties & licenses 2

Addresses

Other names 1

• Institute of Interventional Pain Management Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Ahmad Nadeem Rafi, M.D.

  • Anesthesiology Physician
  • Russellville, AR
  • NPI 1285671487
  Medicare reassignment Care Compare group NPD Authorized official
• Christa Bartlett

  • Medical Physician Assistant
  • Dardanelle, AR
  • NPI 1770954927
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1083238141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 W MAIN ST STE H",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012536",
            "telephone_number": "479-967-7770",
            "fax_number": "479-967-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 W MAIN ST STE H",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012536",
            "telephone_number": "479-967-7770",
            "fax_number": "479-967-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 W Main St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012455",
            "country_code": "US",
            "telephone_number": "479-967-7770",
            "fax_number": "479-967-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR R ANESTHESIA & PAIN MANAGEMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "RAFI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-952-9119"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute of Interventional Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Institute of Interventional Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Douskurt, CASE MANAGER PARAPRO
• Bari Douthit
• Gretchen Suzanne Douthit, LPC, LPE, ACADC
• Nathaniel Dow
• Sydne Doyle
• Dr. Douglas a. Griffin D.D.S., P.a.
• DRS Johnston & Richardson
• DRS. Johnston & Lawrence
• Florence R Duffee, LMSW
• Kristina Michelle Duncan

• Durable Medical Equipment & Medical Supplies in Russellville, AR
• Providers in Russellville, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.