Charlottesville Interventional Pain Management LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

CHARLOTTESVILLE INTERVENTIONAL PAIN MANAGEMENT LLC

Practice address

2050 Abbey Rd Ste a
Charlottesville, VA 22911-3553

Phone

(434) 295-3600

Fax

(434) 220-0121

NPI assigned

Oct 10, 2017

Last updated

Jul 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rasheed Siddiqui, MDNPI 1972539583

Title

Owner

Phone

(434) 295-3600

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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.

• Rasheed A Siddiqui, MD

  • Pain Medicine (Anesthesiology) Physician
  • Charlottesville, VA
  • NPI 1972539583
  Medicare reassignment Care Compare group NPD Authorized official
• Richard B Messinger, MD

  • Pain Medicine Physician
  • Charlottesville, VA
  • NPI 1801008891
  Medicare reassignment Care Compare group NPD
• Chelsea-Ann Patry, MD

  • Anesthesiology Physician
  • Charlottesville, VA
  • NPI 1881222487
  Medicare reassignment Care Compare group NPD
• Scott D Chirichetti, DO

  • Pain Medicine Physician
  • Charlottesville, VA
  • NPI 1487723003
  NPD (past)
• Christopher Lander, MD

  • Pain Medicine (Anesthesiology) Physician
  • Charlottesville, VA
  • NPI 1174550602
  NPD (past)

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1366952848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8310",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140310",
            "telephone_number": "540-345-3556",
            "fax_number": "540-777-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 ABBEY RD STE A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113553",
            "telephone_number": "434-295-3600",
            "fax_number": "434-220-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Martha Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114668",
            "country_code": "US",
            "telephone_number": "434-654-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLOTTESVILLE INTERVENTIONAL PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "RASHEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-295-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Interventional Pain Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.