Individual provider Active NPI

Colin Mychak, D.O.

  • Interventional Pain Medicine Physician
  • Hagerstown, MD
National Provider Identifier
1619327954
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
H0100176 Issued in MD
Practice address
1165 Imperial Dr Ste 102
Hagerstown, MD 21740-6555
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Jun 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 202103319 NC
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X H0100176 MD Primary

Addresses

Primary practice location

1165 Imperial Dr Ste 102
Hagerstown, MD 21740-6555

Mailing address

201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (855) 527-7246

Other practice location 1

57 Howard Gap Rd
Fletcher, NC 28732-9560
Phone (828) 483-4330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220208000261 NC Practitioner - Physical Medicine and Rehabilitation 3476889080 Reassigns benefits to 3 organizations
I20241031004472 MD Practitioner - Pain Management 3476889080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

7100 Guilford Dr
Suite 150
Frederick, MD 21704-5260
Phone (855) 527-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
202103319NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation Multi-Specialty Current Accepting new patients
Advanced Pain Management Specialists, LLC Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
St. Luke'S Hospital Inc. Multi-Specialty CurrentSince Mar 4, 2022 Accepting new patients
Henderson County Hospital Corporation CurrentSince Mar 4, 2022 Accepting new patients
DLP Western Carolina Physician Practices LLC Multi-Specialty CurrentSince Mar 15, 2022 Accepting new patients
DLP Western Carolina Physician Practices LLC Multi-Specialty CurrentSince Mar 15, 2022 Accepting new patients
Comprehensive Pain Consultants of the Carolinas PLLC Multi-Specialty CurrentSince Feb 1, 2022 Accepting new patients
St. Luke'S Hospital Inc. CurrentSince Mar 4, 2022 Accepting new patients
Comprehensive Pain Consultants of the Carolinas PLLC Multi-Specialty CurrentSince Feb 1, 2022 Accepting new patients
Advanced Pain Management Specialists, LLC Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
Henderson County Hospital Corp Multi-Specialty CurrentSince Mar 4, 2022 Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

201 Defense Hwy
Ste 205
Annapolis, MD 21401

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

7100 Guilford Dr
Ste 150
Frederick, MD 21704
Phone (301) 299-3717

7100 Guilford Dr
Ste 152
Frederick, MD 21704

1165 Imperial Dr
Ste 102
Hagerstown, MD 21740

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

310 Overlook Rd
#B
Asheville, NC 28803
Phone (828) 483-4438

45 Plateau St
Bryson City, NC 28713
Phone (828) 488-2155

262 Leroy George Dr
Fl 1
Clyde, NC 28721
Phone (828) 452-8999

101 Hospital Dr
Columbus, NC 28722
Phone (828) 894-3311

57 Howard Gap Rd
Fletcher, NC 28732
Phone (828) 483-4330

55 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-3550

144 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-5057

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

81 Medical Park Loop
Ste 202
Sylva, NC 28779
Phone (828) 586-5865

Interoperability endpoints

  • Direct secure messaging: cmychak816700@direct.unc.nchie.net
  • Direct secure messaging: colin.mychak.1@11679.direct.athenahealth.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1619327954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017096",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 IMPERIAL DR STE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406555",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Howard Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Fletcher",
            "state": "NC",
            "postal_code": "287329560",
            "country_code": "US",
            "telephone_number": "828-483-4330",
            "fax_number": "828-483-5417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYCHAK",
        "first_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "202103319",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "H0100176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.