Active NPI
Integra Neuro Pain Institute PA
- Pain Medicine (Psychiatry & Neurology) Physician
- Orlando, FL
National Provider Identifier
1841106788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Psychiatry & Neurology) Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad Masoom Qureshi
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LICENSE | Other | FL | ME126396 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Haines City, FL
- NPI 1588002505
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.