NPIMap

Organization Active NPI

Elite Spine & Pain, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Frederick, MD
National Provider Identifier
1376289462
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ELITE SPINE & PAIN, LLC
Practice address
97 Thomas Johnson Dr Ste 200
Frederick, MD 21702-4374
Phone
(240) 547-6464
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Dr. Jason Litt, MDNPI 1962778142
Title
Founder
Phone
(240) 547-6464

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

97 Thomas Johnson Dr Ste 200
Frederick, MD 21702-4374

Mailing address

12154 Darnestown Rd Ste 622
Gaithersburg, MD 20878-2206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220927003949 MD Part B Supplier - Clinic/Group Practice 3577949627 Receives reassigned benefits from 9 practitioners
Practice locations: Frederick, MD
O20241024001077 DC Part B Supplier - Clinic/Group Practice 3577949627 Receives reassigned benefits from 7 practitioners
Practice locations: Rockville, MD; Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

97 Thomas Johnson Dr
Ste 200
Frederick, MD 21702
Phone (240) 547-6464

97 Thomas Johnson Dr
Ste 20
Frederick, MD 21702

800 S Frederick Ave
Ste 2
Gaithersburg, MD 20877

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1376289462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12154 DARNESTOWN RD STE 622",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 THOMAS JOHNSON DR STE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024374",
            "telephone_number": "240-547-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINE & PAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "LITT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "240-547-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.