NPIMap

Organization Active NPI

Elite Spine and Musculoskeletal Center PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Grand Rapids, MI
National Provider Identifier
1386998755
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
5101014670 Issued in MI
Legal business name
ELITE SPINE AND MUSCULOSKELETAL CENTER PLLC
Practice address
3351 Eagle Run Dr NE
Grand Rapids, MI 49525-7070
Phone
(616) 325-1224
Fax
(888) 972-8067
NPI assigned
Nov 6, 2012
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Derek Anthony Lado, DONPI 1932154192
Title
Owner
Phone
(616) 325-1224

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 (Physical Medicine & Rehabilitation) Physician 2081P2900X 5101014670 MI Primary

Addresses

Primary practice location

3351 Eagle Run Dr NE
Grand Rapids, MI 49525-7070

Mailing address

4081 Cascade Rd SE Ste 700
Grand Rapids, MI 49546-2154
Phone (616) 325-1224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130518000118 MI Part B Supplier - Clinic/Group Practice 0345487971 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI; Muskegon, MI; Greenville, MI; Big Rapids, MI

National Provider Directory

National Provider Directory

Locations

1346 Columbia Ave W
Battle Creek, MI 49015
Phone (269) 964-3300

3351 Eagle Run Dr NE
Grand Rapids, MI 49525
Phone (616) 325-1224

4081 Cascade Rd SE
Ste 700
Grand Rapids, MI 49546
Phone (616) 325-1224

2178 Fort St
Lincoln Park, MI 48146
Phone (313) 383-7227

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1386998755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 CASCADE RD SE STE 700",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462154",
            "telephone_number": "616-325-1224",
            "fax_number": "888-972-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 EAGLE RUN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257070",
            "telephone_number": "616-325-1224",
            "fax_number": "888-972-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINE AND MUSCULOSKELETAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "LADO",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-325-1224",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "5101014670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.