Active NPI
Pain Center of Delaware
- Interventional Pain Medicine Physician
- Lewes, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- PAIN CENTER OF DELAWARE
- Practice address
- 17274 Coastal Hwy
Suite 2
Lewes, DE 19958-6210 - Phone
- (302) 644-2160
- Fax
- (302) 644-8888
- NPI assigned
- Feb 1, 2007
- Last updated
- Apr 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohammad Mehdi, MD
- Title
- Owner
- Phone
- (302) 644-2160
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
17274 Coastal Hwy
Suite 2
Lewes, DE 19958-6210
Mailing address
17274 Coastal Hwy Ste 2
Lewes, DE 19958-6210
Phone (302) 644-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Pain Center of Delaware
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Lewes, DE
- NPI 1184071227
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Anesthesiology Physician
- Lewes, DE
- NPI 1184071227
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Anesthesiology Physician
- Lewes, DE
- NPI 1982655965
-
- Family Medicine Physician
- Millsboro, DE
- NPI 1578712592
-
- Medical Physician Assistant
- Felton, DE
- NPI 1811365893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398297600000",
"number": "1457499873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17274 COASTAL HWY STE 2",
"city": "LEWES",
"state": "DE",
"postal_code": "199586210",
"telephone_number": "302-644-2160",
"fax_number": "302-644-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17274 COASTAL HWY",
"address_2": "SUITE 2",
"city": "LEWES",
"state": "DE",
"postal_code": "199586210",
"telephone_number": "302-644-2160",
"fax_number": "302-644-8888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN CENTER OF DELAWARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2014-04-24",
"status": "A",
"authorized_official_last_name": "MEHDI",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "302-644-2160",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.