NPIMap

Organization Active NPI

Interventional Pain & Spine Specialists, PLLC

  • Pain Medicine Physician
  • Chester, VA
National Provider Identifier
1275834814
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
INTERVENTIONAL PAIN & SPINE SPECIALISTS, PLLC
Practice address
12901 Briggs Rd
Chester, VA 23831-5335
Phone
(804) 715-4709
Fax
(804) 715-4714
NPI assigned
Nov 13, 2010
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Dr. Nadeem Anwar Khan, MDNPI 1851357222
Title
President
Phone
(804) 715-4709

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0101235833 VA
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

12901 Briggs Rd
Chester, VA 23831-5335

Mailing address

12901 Briggs Rd
Chester, VA 23831-5335
Phone (804) 715-4709

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110516000143 VA Part B Supplier - Clinic/Group Practice 0547446288 Receives reassigned benefits from 11 practitioners
Practice locations: Chester, VA
O20130829000676 VA DME Supplier - Physician - General Practice 0547446288 Practice locations: Chester, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2084715Interventional Pain & Spine Specialists12901 Briggs Rd, Chester, VA 23831AccreditationApr 15, 2028

National Provider Directory

National Provider Directory

Locations

12901 Briggs Rd
Ste 101
Chester, VA 23831
Phone (804) 939-7065

1716 E Hundred Rd
Ste 102
Chester, VA 23836
Phone (804) 571-7900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 51

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 51

NPI Registry JSON

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

{
    "created_epoch": "1289606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1275834814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 BRIGGS RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238315335",
            "telephone_number": "804-715-4709",
            "fax_number": "804-715-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 BRIGGS RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238315335",
            "telephone_number": "804-715-4709",
            "fax_number": "804-715-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN & SPINE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-13",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_middle_name": "ANWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-715-4709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101235833",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.