NPIMap

Organization Active NPI

Somnicare Anesthesia & Spine Intervention Specialist, Inc

Doing business as Spine Intervention Specialists, Inc

  • Interventional Pain Medicine Physician
  • Lady Lake, FL
National Provider Identifier
1962712794
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SOMNICARE ANESTHESIA & SPINE INTERVENTION SPECIALIST, INC
Doing business as
Spine Intervention Specialists, Inc
Practice address
809 County Road 466
Suite 302
Lady Lake, FL 32159
Phone
(352) 391-1750
Fax
(352) 391-1752
NPI assigned
Oct 14, 2010
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Dr. Daryoush Sabet-Payman, MDNPI 1295781912
Title
President
Phone
(352) 391-1750

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 Physician 208VP0014X NU Primary

Addresses

Primary practice location

809 County Road 466
Suite 302
Lady Lake, FL 32159

Mailing address

809 CR 466 Ste 302
Lady Lake, FL 32159
Phone (352) 391-1750

Other names 1

  • Spine Intervention Specialists, Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110502000379 FL Part B Supplier - Clinic/Group Practice 4688859960 Receives reassigned benefits from 12 practitioners
Practice locations: Lady Lake, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2094276Somnicare Anesthesia809 County Road 466 Suite 202, Lady Lake, FL 32159Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1962712794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 CR 466 STE 302",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-391-1750",
            "fax_number": "352-391-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 COUNTY ROAD 466",
            "address_2": "SUITE 302",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-391-1750",
            "fax_number": "352-391-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMNICARE ANESTHESIA & SPINE INTERVENTION SPECIALIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "SABET-PAYMAN",
        "authorized_official_first_name": "DARYOUSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-391-1750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Intervention Specialists, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.