Organization Active NPI

Pain and Rehabilitation Consultants LLC

  • Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1578748968
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PAIN AND REHABILITATION CONSULTANTS LLC
Practice address
7400 W Indian School Rd
114
Phoenix, AZ 85033
Phone
(623) 247-0850
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Ehab F Abdalah, MDNPI 1932291408
Title
Sole Member
Phone
(623) 247-0850

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

7400 W Indian School Rd
114
Phoenix, AZ 85033

Mailing address

5830 W Thunderbird Rd B-8
PMB 182
Glendale, AZ 85306
Phone (602) 548-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000559 AZ Part B Supplier - Clinic/Group Practice 0749364784 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

7400 W Indian School Rd
114
Phoenix, AZ 85033
Phone (623) 247-0850

9515 W Camelback Rd
Ste 126
Phoenix, AZ 85037
Phone (623) 247-0850

3337 N Miller Rd
Ste 107
Scottsdale, AZ 85251
Phone (480) 946-5395

Practitioners & affiliated clinicians

Practitioners 2

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1578748968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 W THUNDERBIRD RD B-8",
            "address_2": "PMB 182",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "602-548-2200",
            "fax_number": "602-548-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W INDIAN SCHOOL RD",
            "address_2": "114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85033",
            "telephone_number": "623-247-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND REHABILITATION CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "ABDALAH",
        "authorized_official_first_name": "EHAB",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "623-247-0850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.