Elite Pain and Spine Institute PLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ELITE PAIN AND SPINE INSTITUTE PLC

Practice address

1810 S Crismon Rd Ste 188
Mesa, AZ 85209-3900

Phone

(480) 900-7373

Fax

(480) 900-6844

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Zeeshan Malik, DONPI 1427491174

Title

Physician Owner

Phone

(702) 374-2910

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Zeeshan Malik, DO

  • Pain Medicine (Anesthesiology) Physician
  • Mesa, AZ
  • NPI 1427491174
  Medicare reassignment Care Compare group NPD Authorized official
• Maaz Iqbal, MD

  • Interventional Pain Medicine Physician
  • Gilbert, AZ
  • NPI 1760778906
  Medicare reassignment Care Compare group NPD
• Ankit Patel, DO

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1831535350
  Medicare reassignment Care Compare group NPD
• Casie Leigh Ann Vinson, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1154999126
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1760945471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 S CRISMON RD STE 188",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093900",
            "telephone_number": "480-900-7373",
            "fax_number": "480-900-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 S CRISMON RD STE 188",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093900",
            "telephone_number": "480-900-7373",
            "fax_number": "480-900-6844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 E McKellips Rd Ste 121",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852032527",
            "country_code": "US",
            "telephone_number": "480-900-7373",
            "fax_number": "480-900-6844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1641 E Osborn Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167146",
            "country_code": "US",
            "telephone_number": "480-900-7373",
            "fax_number": "480-900-6844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE PAIN AND SPINE INSTITUTE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ZEESHAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "702-374-2910",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Rose Eliasen, PA
• Joshua Elijah
• Elite Homecare Consulting LLC
• Elite Optical, LLC
• Elite Pain and Spine Institute PLC
• Elite Speech Pathology, LLC
• Elite Surgical Center, LLC
• Elite Training Solutions LLC
• Robert Elk, M.D.
• Maged Elkhouly, M.D.

• Interventional Pain Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.