Palm Beach Pain LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME87536 Issued in FL

Legal business name

PALM BEACH PAIN LLC

Practice address

5610 Pga Blvd Ste 210
Palm Beach Gardens, FL 33418-3838

Phone

(561) 781-8010

Fax

(561) 781-8020

NPI assigned

Feb 20, 2017

Last updated

Feb 20, 2017By 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

Dr. Ricardo A Leano, M.D.NPI 1689642993

Title

President

Phone

(561) 781-8010

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Ricardo A. Leano, MD

  • Interventional Pain Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1689642993
  Medicare reassignment Authorized official
• Hiran Alejandro Alfonso, APRN-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Jupiter, FL
  • NPI 1083372098
  NPD (past)

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1386183549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 PGA BLVD STE 210",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183838",
            "telephone_number": "561-781-8010",
            "fax_number": "561-781-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 PGA BLVD STE 210",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183838",
            "telephone_number": "561-781-8010",
            "fax_number": "561-781-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "LEANO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-781-8010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME87536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015251200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Internal Medicine
• Palm Beach Neurology
• Palm Beach Orthopaedic Institute PA
• Palm Beach Orthopaedic Institute, PA
• Palm Beach Osteopathic Care, Inc.
• Palm Beach Pathology, PA (Palm Beach Gardens Pathology Assocciates)
• Palm Beach Psychiatry, PLLC
• Palm Beach Regional Opco LLC (Palm Beach Gardens Regional Surgery Center)
• Palm Beach Spine Specialists
• Palm Beach Surgical Suites LLC

• Interventional Pain Medicine Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.