SUSQUEHANNA VALLEY PAIN MANAGEMENT PC
NPI 1053399253
Pain Medicine - Interventional Pain Medicine in Harrisburg, PA
About Susquehanna Valley Pain Management Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSQUEHANNA VALLEY PAIN MANAGEMENT PC (NPI 1053399253) is a healthcare organization registered as an interventional pain medicine in Harrisburg, Pennsylvania and active in the NPI registry since January 2006. The organization maintains 2 additional practice locations and lists Malik N Momin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
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)
Susquehanna Valley Pain Management Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Susquehanna Valley Pain Management PC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Susquehanna Valley Pain Management PC's NPI number?
The NPI number for Susquehanna Valley Pain Management PC is 1053399253. It was assigned to this organization in the NPPES registry on January 6, 2006.
Where is Susquehanna Valley Pain Management PC located?
Susquehanna Valley Pain Management PC is located at 825 Sir Thomas Ct Ste B, Harrisburg, PA 17109. The listed phone number is (717) 652-8670.
What is Susquehanna Valley Pain Management PC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Susquehanna Valley Pain Management PC enrolled in Medicare?
Yes. Susquehanna Valley Pain Management PC is registered in the Medicare PECOS enrollment system.
When is Susquehanna Valley Pain Management PC'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 (Pennsylvania, Clinic/Group Practice) is due for revalidation by October 31, 2026. 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 Susquehanna Valley Pain Management PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Susquehanna Valley Pain Management PC, in Anesthesiology, Interventional Pain Management and Physical Medicine and Rehabilitation. 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Susquehanna Valley Pain Management PC was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.
# Susquehanna Valley Pain Management Pc · NPI 1053399253
Interventional Pain Medicine organization in Harrisburg, Pennsylvania. Organization record, active in the CMS NPPES registry since January 6, 2006.
## Identity
- **NPI:** 1053399253 (Entity type: Organization)
- **Enumerated:** January 6, 2006
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Malik Momin, PRESIDENT
## Practice location
- **Address:** 825 SIR THOMAS CT STE B, Harrisburg, PA 17109-4839
- **Phone:** (717) 652-8670 · **Fax:** (717) 901-5009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (2), Anesthesiology (1), Physical Medicine and Rehabilitation (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2026
- **Other identifiers:** Medicaid 018860300004 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1053399253) · Data from the CMS NPPES public registry.