NPIMap

Organization Active NPI

All Star Pain Management and Regenerative Medicine, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Annapolis, MD
National Provider Identifier
1104644657
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC
Practice address
166 Defense Hwy Ste 300
Annapolis, MD 21401-8926
Phone
(443) 808-1808
Fax
(443) 214-5356
NPI assigned
Oct 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Carmen Grey
Title
Practice Manager
Phone
(443) 808-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

166 Defense Hwy Ste 300
Annapolis, MD 21401-8926

Mailing address

166 Defense Hwy Ste 300
Annapolis, MD 21401-8926
Phone (443) 808-1808

Other names 1

  • All Star Pain Management and Regenerative Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All Star Pain MGMT Regen2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1104644657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 DEFENSE HWY STE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018926",
            "telephone_number": "443-808-1808",
            "fax_number": "443-214-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 DEFENSE HWY STE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018926",
            "telephone_number": "443-808-1808",
            "fax_number": "443-214-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "443-808-1810"
    },
    "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": [
        {
            "organization_name": "All Star Pain Management and Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.