NPIMap

Organization Active NPI

Florida Pain & Rehabilitation Institute Inc

Doing business as Central Florida Pain Management

  • Interventional Pain Medicine Physician
  • Lady Lake, FL
National Provider Identifier
1598985111
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME109651 Issued in FL
Legal business name
FLORIDA PAIN & REHABILITATION INSTITUTE INC
Doing business as
Central Florida Pain Management
Practice address
1503 Buenos Aires Blvd
Suite 150
Lady Lake, FL 32159-6821
Phone
(352) 750-5882
Fax
(352) 750-9947
NPI assigned
Apr 26, 2007
Last updated
Sep 28, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA PAIN & REHABILITATION ASSOC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Cherian Sajan, MDNPI 1174764153
Title
Owner
Phone
(407) 622-5766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME109651 FL Primary

Addresses

Primary practice location

1503 Buenos Aires Blvd
Suite 150
Lady Lake, FL 32159-6821

Mailing address

5365 W Atlantic Ave
Suite 504
Delray Beach, FL 33484-8172
Phone (561) 241-9300

Other names 1

  • Central Florida Pain Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031219000145 FL Part B Supplier - Clinic/Group Practice 6204732605 Receives reassigned benefits from 120 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lake City, FL; Lake Mary, FL; Longwood, FL; Melbourne, FL; New Port Richey, FL; Ocala, FL; Ocoee, FL; Orlando, FL…
O20160910000308 FL DME Supplier - Physician - Interventional Pain Management 0749183606 Practice locations: Lady Lake, FL

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2003673Central Florida Pain Management1503 Buenos Aires Blvd Ste 150, Lady Lake, FL 32159Certificate of waiverFeb 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Florida Pain and Rehabilitation Institute Inc26 organizations share this tax ID, including this one
Part of
Florida Pain Rehabilitation Associates Inc

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1598985111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 W ATLANTIC AVE",
            "address_2": "SUITE 504",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848172",
            "telephone_number": "561-241-9300",
            "fax_number": "561-241-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD",
            "address_2": "SUITE 150",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596821",
            "telephone_number": "352-750-5882",
            "fax_number": "352-750-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PAIN & REHABILITATION INSTITUTE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA PAIN & REHABILITATION ASSOC INC",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "SAJAN",
        "authorized_official_first_name": "CHERIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-622-5766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME109651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.