NPIMap

Organization Active NPI

Map RC LLC

Doing business as Prime Regenerative and Pain Management

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fredericksburg, VA
National Provider Identifier
1205394855
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
MAP RC LLC
Doing business as
Prime Regenerative and Pain Management
Practice address
402 Chatham Square Office Park
Fredericksburg, VA 22405-2544
Phone
(540) 659-5414
Fax
(406) 595-4155
NPI assigned
Mar 2, 2019
Last updated
Jul 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Dr. Devashish Sen, MDNPI 1710959986
Title
President
Phone
(540) 659-5414

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

402 Chatham Square Office Park
Fredericksburg, VA 22405-2544

Mailing address

402 Chatham Square Office Park
Fredericksburg, VA 22405-2544
Phone (540) 659-5414

Other practice location 1

2565 Cowan Blvd
Fredericksburg, VA 22401-8440
Phone (540) 659-5414

Other names 1

  • Prime Regenerative and Pain Management Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@painregen.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191001002502 VA Part B Supplier - Clinic/Group Practice 2567792724 Receives reassigned benefits from 6 practitioners
Practice locations: Fredericksburg, VA
O20210222001730 VA DME Supplier - Physician - Interventional Pain Management 2567792724 Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

402 Chatham Square Office Park
Fredericksburg, VA 22405
Phone (540) 659-5414

2765 Richmond Hwy
Ste 203
Stafford, VA 22554
Phone (540) 446-5323

Interoperability endpoints

  • Direct secure messaging: contact@painregen.com

Practitioners & affiliated clinicians

Practitioners 5

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": "1551484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1205394855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 CHATHAM SQUARE OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052544",
            "telephone_number": "540-659-5414",
            "fax_number": "406-595-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 CHATHAM SQUARE OFFICE PARK",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052544",
            "telephone_number": "540-659-5414",
            "fax_number": "406-595-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2565 Cowan Blvd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224018440",
            "country_code": "US",
            "telephone_number": "540-659-5414",
            "fax_number": "540-659-5415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAP RC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-02",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "SEN",
        "authorized_official_first_name": "DEVASHISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-659-5414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@painregen.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "402 Chatham Square Office Park",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224052544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prime Regenerative and Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.