Organization Active NPI

Total Pain Care

  • Pain Medicine (Anesthesiology) Physician
  • Pompano Beach, FL
National Provider Identifier
1932229010
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME32795 Issued in FL
Legal business name
TOTAL PAIN CARE
Practice address
440 E Sample Rd
Suite 101
Pompano Beach, FL 33064-4444
Phone
(954) 788-9003
Fax
(954) 788-9631
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Adel Ayad Kallini, MD
Title
Providerphyscian
Phone
(954) 788-9003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X ME32795 FL Primary

Addresses

Primary practice location

440 E Sample Rd
Suite 101
Pompano Beach, FL 33064-4444

Mailing address

440 E Sample Rd
Suite 101
Pompano Beach, FL 33064-4444
Phone (954) 788-9003

Other identifiers 4

IdentifierTypeStateIssuer
208173OtherFLAMERIGROUP
267476900MedicaidFL
021477OtherFLNEIGHBORHOOD HEALTH
1013802OtherFLCARE PLUS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1932229010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E SAMPLE RD",
            "address_2": "SUITE 101",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644444",
            "telephone_number": "954-788-9003",
            "fax_number": "954-788-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E SAMPLE RD",
            "address_2": "SUITE 101",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644444",
            "telephone_number": "954-788-9003",
            "fax_number": "954-788-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL PAIN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "KALLINI",
        "authorized_official_first_name": "ADEL",
        "authorized_official_middle_name": "AYAD",
        "authorized_official_title_or_position": "PROVIDERPHYSCIAN",
        "authorized_official_telephone_number": "954-788-9003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME32795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "208173",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267476900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "021477",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS",
            "identifier": "1013802",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.