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SPINE & SPORTS MEDICAL GROUP INC
NPI 1023186004
Physical Medicine & Rehabilitation - Pain Medicine in Campbell, CA

Active since November 30, 2006
429 LLEWELLYN AVE, CAMPBELL, CA 95008(408) 364-1616 Get Directions Write a Review

NPPES record last updated: March 2, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spine & Sports Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINE & SPORTS MEDICAL GROUP INC (NPI 1023186004) is a healthcare organization registered as a pain medicine in Campbell, California and active in the NPI registry since November 2006. The organization lists Sherman Tran, Owner, as its authorized official.

NPPES Registry Identity

NPI1023186004
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameSPINE & SPORTS MEDICAL GROUP INC
Location Address429 LLEWELLYN AVECampbell, CA 95008-1948
Mailing Address429 Llewellyn AveCampbell, CA 95008-1948 · (408) 364-1616
Phone(408) 364-1616
Organization SubpartNo
Authorized OfficialSherman TranOwner · (408) 364-1616
Enumeration DateNovember 30, 2006
Last NPPES UpdateMarch 2, 2009
✔ NPI 1023186004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in CA · G81800
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
429 LLEWELLYN AVE, Campbell, CA 95008
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Other Identifiers 1

Medicare UPING42637CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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)

Spine & Sports Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20051219000507Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Spine & Sports Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Abhishek Gowda, M.D.
Physical Medicine and Rehabilitation
NPI 1710114772
429 LLEWELLYN AVE
Campbell, CA 95008
(408) 364-1616
✔ PECOS✔ Accepts MedicareSame address
Sherman Tran, MD
Physical Medicine and Rehabilitation
NPI 1063407302
429 LLEWELLYN AVE
Campbell, CA 95008
(408) 364-1616
✔ PECOS✔ Accepts MedicareSame address

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 Spine & Sports Medical Group Inc's NPI number?

The NPI number for Spine & Sports Medical Group Inc is 1023186004. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Spine & Sports Medical Group Inc located?

Spine & Sports Medical Group Inc is located at 429 Llewellyn Ave, Campbell, CA 95008. The listed phone number is (408) 364-1616.

What is Spine & Sports Medical Group Inc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Spine & Sports Medical Group Inc enrolled in Medicare?

Yes. Spine & Sports Medical Group Inc is registered in the Medicare PECOS enrollment system.

When is Spine & Sports Medical Group Inc'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 (California, Clinic/Group Practice) is due for revalidation by January 31, 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 Spine & Sports Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Medicine and Rehabilitation, reassign their Medicare billing to Spine & Sports Medical Group Inc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spine & Sports Medical Group Inc was last updated on March 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.