NPIMap

Organization Active NPI

Pain and Spine Specialists of Maryland, LLC

  • Specialist
  • Mount Airy, MD
National Provider Identifier
1174884258
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
Practice address
2702 Back Arce Circle
290B
Mount Airy, MD 21771-7769
Phone
(301) 703-8767
Fax
(301) 703-8766
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Mr. Sudhir Rao, MDNPI 1629103759
Title
Owner
Phone
(310) 703-8767

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MD Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

2702 Back Arce Circle
290B
Mount Airy, MD 21771-7769

Mailing address

2702 Back Acre Cir Ste 290B
Mount Airy, MD 21771-7769
Phone (301) 703-8767

Other practice location 1

9707 Medical Center Dr Ste 100
Rockville, MD 20850-6334
Phone (301) 760-3357

Other practice location 2

4750 N Federal Hwy Ste 100
Fort Lauderdale, FL 33308-4609
Phone (301) 760-3317

Other practice location 3

2614 Memorial Blvd Ste A
Connellsville, PA 15425-1405
Phone (724) 638-4537

Other practice location 4

422 Garrisonville Rd Ste 101
Stafford, VA 22554-1573
Phone (301) 703-8767

Other practice location 5

420 Neff Ave Ste 230
Harrisonburg, VA 22801-5435
Phone (301) 703-8767

Other practice location 6

141 Brady Cir W Ste 102
Steubenville, OH 43952-1411
Phone (740) 792-4110

Other names 4

  • Pain and Spine Specialists of Florida Doing business as
  • Pain and Spine Specialists of Ohio Doing business as
  • Pain and Spine Specialists of Pennsylvania Doing business as
  • Pain and Spine Specialists of Virginia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, DE, DC, VA, FL, OH8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20120816000109 MD Part B Supplier - Clinic/Group Practice 2668628124 Receives reassigned benefits from 26 practitioners
Practice locations: Cumberland, MD; Mount Airy, MD; Hagerstown, MD; Frederick, MD; Elkridge, MD
O20160202001072 PA Part B Supplier - Clinic/Group Practice 2668628124 Receives reassigned benefits from 41 practitioners
Practice locations: Greensburg, PA; Wexford, PA; Washington, PA; State College, PA; Pittsburgh, PA; Erie, PA; Connellsville, PA; Bridgeville, PA…
O20170414000433 MD DME Supplier - Physician - Interventional Pain Management 2668628124 Practice locations: Mount Airy, MD
O20170626002421 DE Part B Supplier - Clinic/Group Practice 2668628124 Receives reassigned benefits from 1 practitioner
Practice locations: Lewes, DE
O20170822003774 DC Part B Supplier - Clinic/Group Practice 2668628124 Receives reassigned benefits from 29 practitioners
Practice locations: Hagerstown, MD; Rockville, MD
O20181116002389 VA Part B Supplier - Clinic/Group Practice 2668628124 Receives reassigned benefits from 8 practitioners
Practice locations: Harrisonburg, VA; Stafford, VA
O20220609002285 FL Part B Supplier - Clinic/Group Practice 2668628124 Receives reassigned benefits from 6 practitioners
Practice locations: Fort Lauderdale, FL; Daytona Beach, FL
O20250827003066 OH Part B Supplier - Clinic/Group Practice 2668628124 Receives reassigned benefits from 5 practitioners
Practice locations: Steubenville, OH

National Provider Directory

National Provider Directory

Locations (25 of 30)

4750 N Federal Hwy
Ste 100
Ft Lauderdale, FL 33308
Phone (301) 760-3226

2707 Back Acre Cir
Ste 290B
MD 21771

5303 Spectrum Dr
Ste A
Frederick, MD 21703
Phone (240) 215-6047

2702 Back Acre Cir
Ste B
Mount Airy, MD 21771

2707 Back Acre Cir
Ste 290B
Mount Airy, MD 21771
Phone (301) 703-8766

124 Slade Ave
Pikesville, MD 21208
Phone (410) 855-4448

9707 Medical Center Dr
Ste 100
Rockville, MD 20850
Phone (301) 760-3357

141 Brady Cir W
Ste 102
Steubenville, OH 43952
Phone (740) 792-4110

3107 Fairway Dr
Altoona, PA 16602
Phone (814) 949-7280

100 Emerson Ln
Ste 1507
Bridgeville, PA 15017
Phone (412) 506-0334

701 Boyce Rd
Ste 100
Bridgeville, PA 15017
Phone (412) 220-2336

100 Emerson Ln
Ste 104
Bridgeville, PA 15017

401 E Murphy Ave
Spc Of
Connellsville, PA 15425

240 W 11th St
Ste 103
Erie, PA 16501
Phone (814) 790-5111

4731 Route 30
Ste 401403
Greensburg, PA 15601

660 Pellis Rd
Ste 102
Greensburg, PA 15601
Phone (412) 858-7088

1275 S Main St
Greensburg, PA 15601
Phone (412) 838-1008

4731 Route 30
Greensburg, PA 15601

6207 State Route 30
Greensburg, PA 15601

850 Clairton Blvd
Ste 3300
Pittsburgh, PA 15236
Phone (412) 532-1209

315 S Allen St
Ste 325A
State College, PA 16801
Phone (814) 285-3163

120 Regent Ct
Ste 200
State College, PA 16801
Phone (814) 414-4434

500 W Berkeley St
Spc Of
Uniontown, PA 15401

404 W Main St
#A
Uniontown, PA 15401

25 Highland Park Dr
Ste 201
Uniontown, PA 15401
Phone (724) 437-4676

Practitioners & affiliated clinicians

Practitioners 69

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

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1174884258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 BACK ACRE CIR STE 290B",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717769",
            "telephone_number": "301-703-8767",
            "fax_number": "301-703-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 BACK ARCE CIRCLE",
            "address_2": "290B",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717769",
            "telephone_number": "301-703-8767",
            "fax_number": "301-703-8766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9707 Medical Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506334",
            "country_code": "US",
            "telephone_number": "301-760-3357",
            "fax_number": "301-703-8766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4750 N Federal Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333084609",
            "country_code": "US",
            "telephone_number": "301-760-3317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2614 Memorial Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Connellsville",
            "state": "PA",
            "postal_code": "154251405",
            "country_code": "US",
            "telephone_number": "724-638-4537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 Garrisonville Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541573",
            "country_code": "US",
            "telephone_number": "301-703-8767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Neff Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228015435",
            "country_code": "US",
            "telephone_number": "301-703-8767",
            "fax_number": "301-703-8886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Brady Cir W Ste 102",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439521411",
            "country_code": "US",
            "telephone_number": "740-792-4110",
            "fax_number": "740-792-4143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-703-8767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "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": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain and Spine Specialists of Florida",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pain and Spine Specialists of Ohio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pain and Spine Specialists of Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pain and Spine Specialists of Virginia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pain and Spine Specialists of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Airy, MD

Sources for this page

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