NPIMap

Organization Active NPI

Matsunaga Pain Management, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Columbia, MD
National Provider Identifier
1174618342
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
D0037907 Issued in MD
Legal business name
MATSUNAGA PAIN MANAGEMENT, LLC
Practice address
8894 Stanford Blvd Ste 104
Columbia, MD 21045-5161
Phone
(410) 997-7246
Fax
(410) 997-7226
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Dr. Mark Matsunaga, MDNPI 1962409656
Title
Owner
Phone
(410) 997-7246

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X D0037907 MD Primary

Addresses

Primary practice location

8894 Stanford Blvd Ste 104
Columbia, MD 21045-5161

Mailing address

10710 Charter Dr
Suite 240
Columbia, MD 21044-3128
Phone (410) 997-7246

Other names 1

  • Comprehensive Pain Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061013000386 MD Part B Supplier - Clinic/Group Practice 4981600939 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD
O20130917000634 MD DME Supplier - Physician - General Practice 4981600939 Practice locations: Columbia, MD

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Pain Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1174618342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 240",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443128",
            "telephone_number": "410-997-7246",
            "fax_number": "410-997-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8894 STANFORD BLVD STE 104",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455161",
            "telephone_number": "410-997-7246",
            "fax_number": "410-997-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATSUNAGA PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "MATSUNAGA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-997-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0037907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.