Cosmopolitan Pain and Spine Center LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

COSMOPOLITAN PAIN AND SPINE CENTER LLC

Practice address

4200 Evergreen LN Ste 322
Annandale, VA 22003-3252

Phone

(571) 347-7800

Fax

(571) 347-7800

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Babak Bedayat, MDNPI 1083896955

Title

Doctor

Phone

(408) 306-6852

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Babak Bedayat, MD

  • Interventional Pain Medicine Physician
  • Culpeper, VA
  • NPI 1083896955

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1912603291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 EVERGREEN LN STE 322",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033252",
            "telephone_number": "571-777-5800",
            "fax_number": "571-347-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 EVERGREEN LN STE 322",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033252",
            "telephone_number": "571-347-7800",
            "fax_number": "571-347-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOPOLITAN PAIN AND SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "BEDAYAT",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "408-306-6852",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Continental Enterprise Inc
• Alexandra Cooper
• Judith Ann Cornecelli, RN, LCSW,
• Devin Marie Correa, OTR/L
• William Cosby
• Victoria Courtright, OTR/L
• Kathleen A Coutinho, DC
• Anne N Cowley, LCSW
• Crocus Mental Health
• Mary Cross, OTR/L

• Interventional Pain Medicine Physician in Annandale, VA
• Providers in Annandale, VA by specialty
• Interventional Pain Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.