CENTER FOR PAIN CARE P A
NPI 1023024684
Physical Medicine & Rehabilitation - Pain Medicine in Boise, ID
About Center For Pain Care P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTER FOR PAIN CARE P A (NPI 1023024684) is a healthcare organization registered as a pain medicine in Boise, Idaho and active in the NPI registry since August 2006. The organization lists Clinton Mallari, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Center For Pain Care P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Center For Pain Care P A, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Center For Pain Care P A's NPI number?
The NPI number for Center For Pain Care P A is 1023024684. It was assigned to this organization in the NPPES registry on August 1, 2006.
Where is Center For Pain Care P A located?
Center For Pain Care P A is located at 115 W Main St Suite 102, Boise, ID 83702. The listed phone number is (208) 342-4700.
What is Center For Pain Care P A's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.
Is Center For Pain Care P A enrolled in Medicare?
Yes. Center For Pain Care P A is registered in the Medicare PECOS enrollment system.
When is Center For Pain Care P A's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Center For Pain Care P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Center For Pain Care P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Center For Pain Care P A was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Center For Pain Care P A · NPI 1023024684
Pain Medicine organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1023024684 (Entity type: Organization)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Physical Medicine & Rehabilitation - Pain Medicine · taxonomy 2081P2900X
- **Organization subpart:** No
- **Authorized official:** Clinton Mallari, ADMINISTRATOR
## Practice location
- **Address:** 115 W MAIN ST, SUITE 102, Boise, ID 83702-7302
- **Phone:** (208) 342-4700 · **Fax:** (208) 342-4710
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Interventional Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 1376128 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1023024684) · Data from the CMS NPPES public registry.