Organization Active NPI

Solace Pain Management & Rehabilitation LLC

  • Specialist
  • Rockville, MD
National Provider Identifier
1750592838
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D59782 Issued in MD
Legal business name
SOLACE PAIN MANAGEMENT & REHABILITATION LLC
Practice address
14816 Physicians LN Ste 151
Rockville, MD 20850-3937
Phone
(301) 251-5700
Fax
(301) 251-5719
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Dr. Ruijin Yao, M.D.NPI 1457391708
Title
M.D.
Phone
(301) 251-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X D59782 MD Primary

Addresses

Primary practice location

14816 Physicians LN Ste 151
Rockville, MD 20850-3937

Mailing address

14816 Physicians LN Ste 151
Rockville, MD 20850-3937
Phone (301) 251-5700

Other identifiers 1

IdentifierTypeStateIssuer
405184000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040506000567 DC Part B Supplier - Clinic/Group Practice 4082602065 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

14816 Physicians Ln
Ste 151
Rockville, MD 20850
Phone (301) 251-5700

14801 Physicians Ln
Ste 171C
Rockville, MD 20850
Phone (301) 251-5700

Practitioners & affiliated clinicians

Practitioners 1

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1750592838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14816 PHYSICIANS LN STE 151",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503937",
            "telephone_number": "301-251-5700",
            "fax_number": "301-251-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14816 PHYSICIANS LN STE 151",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503937",
            "telephone_number": "301-251-5700",
            "fax_number": "301-251-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE PAIN MANAGEMENT & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "RUIJIN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "301-251-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D59782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405184000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.