NPIMap

Organization Active NPI

Center for Interventional Pain Spine LLC

  • Interventional Pain Medicine Physician
  • Middletown, DE
National Provider Identifier
1144527003
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Practice address
291 Carter Dr Ste a
Middletown, DE 19709-5845
Phone
(844) 365-7246
Fax
(844) 516-0080
NPI assigned
Feb 11, 2011
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Venkatesh SundararajanNPI 1003022500
Title
Owner
Phone
(844) 365-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Chiropractor 111N00000X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Pain Medicine Physician 208VP0000X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

291 Carter Dr Ste a
Middletown, DE 19709-5845

Mailing address

291 Carter Dr Ste a
Middletown, DE 19709-5845
Phone (844) 365-7246

Other practice location 1

535 Pennsylvania Ave. Suite 100
Fort Washington, PA 19034-3305
Phone (844) 365-7246

Other practice location 2

300 Welsh RD Ste 104
Horsham, PA 19044-2248
Phone (844) 365-7246

Other practice location 3

405 Silverside Rd Ste 104
Wilmington, DE 19809-1768
Phone (844) 365-7246

Other practice location 4

2701 Blair Mill Rd, Suite 35
Willow Grove, PA 19090-1041
Phone (844) 365-7246

Other practice location 5

4701 Ogletown-Stanton Rd, Suite 1200
Ste 214
Newark, DE 19713-7000
Phone (844) 365-7246

Other practice location 6

100 Arrandale Blvd Ste 103
Exton, PA 19341-2503
Phone (844) 365-7246

Other practice location 7

931 East Haverford Rd. Suite 202
Bryn Mawr, PA 19010-3838
Phone (844) 365-7246

Other practice location 8

160 North Pointe, Ste 208
Lancaster, PA 17601-4134
Phone (844) 365-7246

Other practice location 9

500 Evergreen Dr Ste G5
Glen Mills, PA 19342-1032
Phone (844) 365-7246

Other practice location 10

360 E Pulaski Hwy Fl 3
Elkton, MD 21921-6457
Phone (844) 365-7246

Other practice location 11

3105 Limestone Road, Suite 300
Wilmington, DE 19808-2156
Phone (844) 365-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, MD4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20110407000057 PA Part B Supplier - Clinic/Group Practice 6507040078 Receives reassigned benefits from 23 practitioners
Practice locations: Bryn Mawr, PA; Exton, PA; Fort Washington, PA; Glen Mills, PA; Harleysville, PA; Horsham, PA; Lancaster, PA; Willow Grove, PA…
O20110503000784 DE Part B Supplier - Clinic/Group Practice 6507040078 Receives reassigned benefits from 27 practitioners
1 other NPI on this enrollment
Practice locations: Middletown, DE; Newark, DE; Wilmington, DE
O20201228000421 DE DME Supplier - Physician - Interventional Pain ManagementDME Supplier - Physician - Anesthesiology 6507040078 Practice locations: Wilmington, DE
O20210928000463 MD Part B Supplier - Clinic/Group Practice 6507040078 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Elkton, MD

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3401 Brandywine Pkwy
Ste 202
Wilmington, DE 19803
Phone (302) 477-1706

100 Arrandale Blvd
Ste 103
Exton, PA 19341

535 Pennsylvania Ave
Ste 100
Fort Washington, PA 19034
Phone (215) 646-6023

300 Welsh Rd
Bldg Two
Horsham, PA 19044

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1144527003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 CARTER DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095845",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 CARTER DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095845",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Pennsylvania Ave. Suite 100",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190343305",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Welsh RD Ste 104",
            "address_purpose": "LOCATION",
            "city": "Horsham",
            "state": "PA",
            "postal_code": "190442248",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Silverside Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198091768",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Blair Mill Rd, Suite 35",
            "address_purpose": "LOCATION",
            "city": "Willow Grove",
            "state": "PA",
            "postal_code": "190901041",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4701 Ogletown-Stanton Rd, Suite 1200",
            "address_2": "Ste 214",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197137000",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Arrandale Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412503",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "931 East Haverford Rd. Suite 202",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103838",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 North Pointe, Ste 208",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014134",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Evergreen Dr Ste G5",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421032",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 E Pulaski Hwy Fl 3",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216457",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3105 Limestone Road, Suite 300",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198082156",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR INTERVENTIONAL PAIN SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "SUNDARARAJAN",
        "authorized_official_first_name": "VENKATESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-365-7246"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.