Organization Active NPI

Integra Neuro Pain Institute PA

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Orlando, FL
National Provider Identifier
1841106788
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
INTEGRA NEURO PAIN INSTITUTE PA
Practice address
5979 Vineland Rd Ste 114
Orlando, FL 32819-7855
Phone
(863) 547-0788
Fax
(863) 547-0789
NPI assigned
Aug 20, 2026
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Mohammad Masoom QureshiNPI 1588002505
Title
Physician
Phone
(863) 547-0788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X Primary

Addresses

Primary practice location

5979 Vineland Rd Ste 114
Orlando, FL 32819-7855

Mailing address

8297 Champions Gate Blvd Ste 463
Champions Gate, FL 33896-8387
Phone (863) 547-0788

Other identifiers 1

IdentifierTypeStateIssuer
LICENSEOtherFLME126396

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1841106788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8297 CHAMPIONS GATE BLVD STE 463",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968387",
            "telephone_number": "863-547-0788",
            "fax_number": "863-547-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD STE 114",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197855",
            "telephone_number": "863-547-0788",
            "fax_number": "863-547-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA NEURO PAIN INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "MASOOM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "863-547-0788"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME126396",
            "identifier": "LICENSE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.