NPIMap

Organization Active NPI

Keystone Pain Consultants & Interventional Spine Specialists PC

  • Interventional Pain Medicine Physician
  • Washington, PA
National Provider Identifier
1104482850
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
KEYSTONE PAIN CONSULTANTS & INTERVENTIONAL SPINE SPECIALISTS PC
Practice address
80 Landings Dr Ste 202
Washington, PA 15301-9408
Phone
(724) 969-0191
Fax
(724) 941-9089
NPI assigned
May 17, 2019
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Amy Bisignani
Title
Clinic Director
Phone
(412) 866-7246

Specialties & licenses 1

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

Addresses

Primary practice location

80 Landings Dr Ste 202
Washington, PA 15301-9408

Mailing address

PO Box 72098
Cleveland, OH 44192-0002
Phone (412) 866-7718

Other practice location 1

470 Johnson Rd Ste 210
Washington, PA 15301-8944
Phone (724) 969-0191

Other identifiers 1

IdentifierTypeStateIssuer
MD043068LOtherPASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190718000134 PA Part B Supplier - Clinic/Group Practice 0840525457 Receives reassigned benefits from 6 practitioners
Practice locations: Pittsburgh, PA; Washington, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1104482850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72098",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "412-866-7718",
            "fax_number": "412-866-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LANDINGS DR STE 202",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019408",
            "telephone_number": "724-969-0191",
            "fax_number": "724-941-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Johnson Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "PA",
            "postal_code": "153018944",
            "country_code": "US",
            "telephone_number": "724-969-0191",
            "fax_number": "724-941-9089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEYSTONE PAIN CONSULTANTS & INTERVENTIONAL SPINE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "BISIGNANI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "412-866-7246"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD043068L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.