International Spine Pain & Performance Center PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTERNATIONAL SPINE PAIN & PERFORMANCE CENTER PLLC

Practice address

2021 K St NW Ste 615
Washington, DC 20006-1066

Phone

(202) 808-8295

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Mehul Desai, MD

Title

Owner

Phone

(202) 808-8295

Specialties & licenses 4

Addresses

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

CLIA laboratory certificates

Practitioners 1

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

• Sohan Nagrani, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Silver Spring, MD
  • NPI 1497132518
  NPD

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1972128478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 615",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 615",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061066",
            "telephone_number": "202-808-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL SPINE PAIN & PERFORMANCE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-808-8295",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• International Dental Assoc. Inc
• International Dental Care Inc.
• International Diagnostic Solutions
• International Dialysis Center, LLC
• International Institute for Health and Professional Development
• Internist of Washington, PC
• Kristin Inthirakot, OTR/L
• Rachel Intriago, M.D.
• Aisha Jumai Inuwa, MD, MS
• Invictus Cares Inc

• Interventional Pain Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Interventional Pain Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.