NPIMap

Organization Active NPI

Complete Pain Care of Maryland LLC

  • Pain Medicine Physician
  • Baltimore, MD
National Provider Identifier
1609376615
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
COMPLETE PAIN CARE OF MARYLAND LLC
Practice address
312 Martin Luther King Jr Blvd Ste 102
Baltimore, MD 21201-1221
Phone
(410) 777-8971
Fax
(877) 595-7180
NPI assigned
Feb 16, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Ritu Bhambhani, MDNPI 1053394130
Title
Owner
Phone
(410) 777-8971

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
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

312 Martin Luther King Jr Blvd Ste 102
Baltimore, MD 21201-1221

Mailing address

100 Walter Ward Blvd Ste 300
Abingdon, MD 21009-1286
Phone (410) 777-8971

Other practice location 1

5430 Campbell Blvd Ste 111
White Marsh, MD 21162-5503
Phone (410) 777-8971

National Provider Directory

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": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1609376615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD STE 300",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091286",
            "telephone_number": "410-777-8971",
            "fax_number": "877-595-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MARTIN LUTHER KING JR BLVD STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011221",
            "telephone_number": "410-777-8971",
            "fax_number": "877-595-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5430 Campbell Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "White Marsh",
            "state": "MD",
            "postal_code": "211625503",
            "country_code": "US",
            "telephone_number": "410-777-8971",
            "fax_number": "877-595-7180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE PAIN CARE OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BHAMBHANI",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-777-8971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.