NPIMap

Organization Active NPI

All Star Pain Management and Regenerative Medicine, LLC

Doing business as All Star Pain Management and Regenerative Medicine

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bowie, MD
National Provider Identifier
1669290219
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC
Doing business as
All Star Pain Management and Regenerative Medicine
Practice address
4201 Northview Dr Ste 502
Bowie, MD 20716-2673
Phone
(443) 808-1808
Fax
(443) 214-5356
NPI assigned
Oct 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Carmen Grey
Title
Practice Manager
Phone
(443) 808-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

4201 Northview Dr Ste 502
Bowie, MD 20716-2673

Mailing address

166 Defense Hwy Ste 300
Annapolis, MD 21401-8926
Phone (443) 808-1808

Other names 1

  • All Star Pain Management and Regenerative Medicine Doing business as

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
21D2277919All Star Pain MGMT & Regenerative Medicine4201 Northview Drive #502, Bowie, MD 20716Certificate of waiverMar 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
All Star Pain MGMT Regen2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

166 Defense Hwy
Ste 300
Annapolis, MD 21401
Phone (443) 808-1808

4201 Northview Dr
Ste 502
Bowie, MD 20716
Phone (443) 808-1808

Practitioners & affiliated clinicians

Practitioners 7

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": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1669290219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 DEFENSE HWY STE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018926",
            "telephone_number": "443-808-1808",
            "fax_number": "443-214-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 NORTHVIEW DR STE 502",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162673",
            "telephone_number": "443-808-1808",
            "fax_number": "443-214-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "443-808-1810"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Star Pain Management and Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.