NPIMap

Organization Active NPI

Ideal Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Baltimore, MD
National Provider Identifier
1093654691
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
IDEAL PAIN MANAGEMENT, LLC
Practice address
1147 S Hanover St
Baltimore, MD 21230-3717
Phone
(703) 522-2727
Fax
(703) 542-3753
NPI assigned
Mar 27, 2026
Last updated
Mar 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Lisa Papenfuhs
Title
Billing Manager
Phone
(703) 522-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

1147 S Hanover St
Baltimore, MD 21230-3717

Mailing address

217 E Churchville Rd
Bel Air, MD 21014-3825
Phone (703) 522-2727

National Provider Directory

National Provider Directory
Tax ID family
Ideal Pain Management LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1147 S Hanover St
Baltimore, MD 21230
Phone (410) 752-5425

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1093654691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143825",
            "telephone_number": "703-522-2727",
            "fax_number": "703-542-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303717",
            "telephone_number": "703-522-2727",
            "fax_number": "703-542-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "PAPENFUHS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "703-522-2727"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.