Organization Active NPI

Metropolitan Pain PA

  • Ambulatory Surgical Clinic/Center
  • Ellicott City, MD
National Provider Identifier
1972690121
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
METROPOLITAN PAIN PA
Practice address
9501 Old Annapolis Rd Ste 305
Ellicott City, MD 21042-6337
Phone
(443) 546-4969
Fax
(443) 546-4888
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Levi Pearson III, MDNPI 1780668152
Title
Owner
Phone
(443) 538-6457

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X D0044512 MD
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

9501 Old Annapolis Rd Ste 305
Ellicott City, MD 21042-6337

Mailing address

9501 Old Annapolis Rd Ste 305
Ellicott City, MD 21042-6337
Phone (443) 546-4969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070216000081 DC Part B Supplier - Clinic/Group Practice 0042278988 Receives reassigned benefits from 1 practitioner
Practice locations: Chevy Chase, MD
O20070501000290 MD Part B Supplier - Clinic/Group Practice 0042278988 Receives reassigned benefits from 1 practitioner
Practice locations: Fulton, MD; Silver Spring, MD; Columbia, MD
O20200831002125 MD Part B Supplier - Ambulatory Surgical Center 0042278988 1 other NPI on this enrollment
Practice locations: Ellicott City, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

6030 Daybreak Cir
Fl 150336
Clarksville, MD 21029

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1972690121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 305",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426337",
            "telephone_number": "443-546-4969",
            "fax_number": "443-546-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 305",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426337",
            "telephone_number": "443-546-4969",
            "fax_number": "443-546-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN PAIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-538-6457",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0044512",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.