Organization Active NPI

Commonwealth Pain Management and Wellness, PLLC

  • Pain Clinic/Center
  • Richmond, VA
National Provider Identifier
1255082343
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
COMMONWEALTH PAIN MANAGEMENT AND WELLNESS, PLLC
Practice address
8002 Discovery Dr RM 125
Richmond, VA 23229-8601
Phone
(804) 441-8457
Fax
(804) 767-1615
NPI assigned
Jan 11, 2022
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Miss Savitri Sherry Gopaul, NP
Title
Nurse Practitioner
Phone
(804) 441-8457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

8002 Discovery Dr RM 125
Richmond, VA 23229-8601

Mailing address

8002 Discovery Dr RM 125
Richmond, VA 23229-8601
Phone (804) 441-8457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220524000632 VA Part B Supplier - Clinic/Group Practice 4183001597 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Pain Management and Wellness PLLC2 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.

Locations

8002 Discovery Dr
Rm 125
Richmond, VA 23229
Phone (804) 441-8457

Practitioners & affiliated clinicians

Practitioners 1

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": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1255082343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 DISCOVERY DR RM 125",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232298601",
            "telephone_number": "804-441-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 DISCOVERY DR RM 125",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232298601",
            "telephone_number": "804-441-8457",
            "fax_number": "804-767-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PAIN MANAGEMENT AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "GOPAUL",
        "authorized_official_first_name": "SAVITRI",
        "authorized_official_middle_name": "SHERRY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "804-441-8457",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.