NPIMap

Center for Pain Management, LLC

Organization Active NPI Interventional Pain Medicine Physician · Baltimore, MD

NPI 1679112650 · NPPES record last updated Dec 8, 2025

Key facts

NPI
1679112650
Entity type
Organization (NPI type 2)
Primary specialty
Interventional Pain Medicine Physician 208VP0014X
Legal business name
CENTER FOR PAIN MANAGEMENT, LLC
Practice address
3407 Wilkens Ave Ste 240
Baltimore, MD 21229-5222
Phone
(410) 644-8500
Fax
(410) 644-8900
NPI assigned
Dec 23, 2019
Organization subpart
No

Authorized official

Name
Shaneka Tinch
Title
RCM Manager
Phone
(469) 458-9222

Other NPIs with the same Medicare PAC ID 8

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

Corporate family (same tax ID) 24

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

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200630000418 MD DME Supplier - Physician - Interventional Pain Management 0547246555 Practice locations: Baltimore, MD

National Provider Directory

Tax ID family
Center for Pain MGMT (25 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208VP0014X Yes

Addresses

Primary practice location

3407 Wilkens Ave Ste 240
Baltimore, MD 21229-5222

Mailing address

4960 SW 72ND Ave Ste 405
Miami, FL 33155-5506
Phone (469) 458-9222

Other providers in Baltimore, MD

All providers in Baltimore, MD · Interventional Pain Medicine Physician in Maryland

Sources for this page

Verify at the official NPI Registry.