Maryland Pain & Regenerative Center, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

MARYLAND PAIN & REGENERATIVE CENTER, LLC

Practice address

3500 Old Washington Rd Ste 202
Waldorf, MD 20602-3238

Phone

(301) 659-0003

NPI assigned

Oct 7, 2019

Organization subpart

No

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

Authorized official

Name

Ritu Varma, MDNPI 1215112537

Title

Owner/Physician

Phone

(419) 819-7394

Specialties & licenses 9

Addresses

Other names 2

• Dominion Primary Care Doing business as
• Dominion spine and pain Doing business as

Medicare fee-for-service enrollment

Enrolled in MD, DC, VA3 enrollments

Enrollment records 3

Locations

Practitioners 5

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

• Ritu Varma, M.D.

  • Anesthesiology Physician
  • Springfield, VA
  • NPI 1215112537

  DC, MD, Pain Medicine, VA

  Medicare reassignment Care Compare group NPD Authorized official
• Robert Jenkins III, CRNP

  • Family Nurse Practitioner
  • Greenbelt, MD
  • NPI 1487071981

  DC, MD, VA

  Medicare reassignment Care Compare group NPD
• Shaima Mudathir Elsheikh

  • Internal Medicine Physician
  • Woodbridge, VA
  • NPI 1215621446

  DC, Family Medicine, VA

  Medicare reassignment Care Compare group NPD
• Riara Maclellan Wilson, FNP

  • Family Nurse Practitioner
  • Falls Church, VA
  • NPI 1497521454

  DC, MD, VA

  Medicare reassignment Care Compare group NPD
• Suzanne A Yaras, CRNA

  • Certified Registered Nurse Anesthetist
  • Waldorf, MD
  • NPI 1609885672

  MD, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1104467463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD",
            "address_2": "STE 110 - 120",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913300",
            "telephone_number": "301-829-7693",
            "fax_number": "301-829-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OLD WASHINGTON RD STE 202",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023238",
            "telephone_number": "301-659-0003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6128 Brandon Ave Ste 208210",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221502640",
            "country_code": "US",
            "telephone_number": "301-659-0003",
            "fax_number": "301-829-7694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2296 Opitz Blvd Ste 110120",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913300",
            "country_code": "US",
            "telephone_number": "301-829-7693",
            "fax_number": "301-829-7694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYLAND PAIN & REGENERATIVE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "VARMA",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "419-819-7394",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dominion Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dominion spine and pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryland Dental Associates LLC
• Maryland Healthcare Associates LLC
• Maryland Imaging Network PC
• Maryland Imaging Network PC
• Maryland Imaging Network PC
• Maryland Psychiatric Care
• Maryland Psychiatric Care, LLC
• Maryland Psychiatric Care, LLC
• Maryland Sportscare & Rehab LLC
• Maryland Wellness LLC

• All providers in Waldorf, MD
• Interventional Pain Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.