Organization Active NPI

Pain Management Institute of Florida PA

  • Interventional Pain Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1962546291
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME87468 Issued in FL
Legal business name
PAIN MANAGEMENT INSTITUTE OF FLORIDA PA
Practice address
1936 32ND Ave
Vero Beach, FL 32960-2573
Phone
(772) 778-8882
Fax
(772) 778-8894
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Mr. Majid Rafik Khalaf, MDNPI 1841334174
Title
Owner
Phone
(772) 778-8882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X ME87468 FL Primary

Addresses

Primary practice location

1936 32ND Ave
Vero Beach, FL 32960-2573

Mailing address

1936 32ND Ave
Vero Beach, FL 32960-2573
Phone (772) 778-8882

Other identifiers 1

IdentifierTypeStateIssuer
03527OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050908000788 FL Part B Supplier - Clinic/Group Practice 5092747287 Receives reassigned benefits from 2 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

1317 W Indiantown Rd
#100
Jupiter, FL 33458
Phone (772) 778-8882

1317 W Indiantown Rd
Ste 100
Jupiter, FL 33458

13403 US Highway 1
#8D
Sebastian, FL 32958
Phone (772) 388-3911

3800 20th St
Vero Beach, FL 32960
Phone (772) 778-8882

1936 32nd Ave
Vero Beach, FL 32960
Phone (772) 778-8882

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1962546291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 32ND AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602573",
            "telephone_number": "772-778-8882",
            "fax_number": "772-778-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 32ND AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602573",
            "telephone_number": "772-778-8882",
            "fax_number": "772-778-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT INSTITUTE OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "KHALAF",
        "authorized_official_first_name": "MAJID",
        "authorized_official_middle_name": "RAFIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-778-8882",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME87468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03527",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.