Innovmd LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

INNOVMD LLC

Practice address

304 Turner McCall Blvd SW
Rome, GA 30165-5621

Phone

(516) 301-8155

NPI assigned

Apr 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Amarabalan Rajendran, MDNPI 1962843680

Title

President

Phone

(516) 301-8155

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Amarabalan Rajendran, M.D

  • Physical Medicine & Rehabilitation Physician
  • Rome, GA
  • NPI 1962843680
  NPD Authorized official

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1366904674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CENTRAL PLZ # 353",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613233",
            "telephone_number": "516-301-8155",
            "fax_number": "404-393-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "516-301-8155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 W 10th St NE",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301652639",
            "country_code": "US",
            "telephone_number": "516-301-8155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "RAJENDRAN",
        "authorized_official_first_name": "AMARABALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-301-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE PTAN",
            "identifier": "DZ3314",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2248",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Immediate Care of Rome #1, LLC
• Independent Physical Therapy of Georgia, LLC
• Independent Physical Therapy of Georgia, LLC
• Infinity Children'S Services, Inc.
• Amanda Chambers Ingram, NP
• Integra Anesthesia Associates LLC
• Margaret Louise Isaacs, CCC/SLP
• Michael Isley, MD
• Oluwagbemisola Francisca Israel, MD
• Stevie Ann Ivey, FNP-C

• Pain Medicine (Anesthesiology) Physician in Rome, GA
• Providers in Rome, GA by specialty
• Pain Medicine (Anesthesiology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.