INTERVENTIONAL PAIN AND SPINE CARE, LLC
NPI 1053934174
Anesthesiology - Pain Medicine in Ijamsville, MD

Q: What is Interventional Pain And Spine Care, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since May 22, 2020CLIA 21D2200940 · Waiver

3280 URBANA PIKE STE 207, IJAMSVILLE, MD 21754(508) 344-7263 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2021, May 22, 2020 (2 updates tracked since 2020).

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About Interventional Pain And Spine Care, Llc NPPES

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

INTERVENTIONAL PAIN AND SPINE CARE, LLC (NPI 1053934174) is a healthcare organization registered as a pain medicine in Ijamsville, Maryland and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Juliet Gyebi-foster, Owner, as its authorized official.

NPPES Registry Identity

NPI1053934174

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameINTERVENTIONAL PAIN AND SPINE CARE, LLC

Location Address3280 URBANA PIKE STE 207Ijamsville, MD 21754-9406

Mailing Address3280 Urbana Pike Ste 207Ijamsville, MD 21754-9406 · (301) 874-3431 · Fax (301) 874-3416

Phone(508) 344-7263

Organization SubpartNo

Authorized OfficialJuliet Gyebi-fosterOwner · (301) 874-3431

Enumeration DateMay 22, 2020

Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration

NPPES CertifiedOctober 3, 2025

✔ NPI 1053934174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

3280 URBANA PIKE STE 207, Ijamsville, MD 21754

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Interventional Pain And Spine Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Interventional Pain And Spine Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Juliet Gyebifoster, M.D.

Pain Management

NPI 1801113022

3280 URBANA PIKE STE 207
Ijamsville, MD 21754

(301) 874-3431

✔ 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2200940

Interventional Pain And Spine Care LLC · Ijamsville, MD

Active · expires Nov 17, 2026

CLIA Number21D2200940

Laboratory TypePhysician Office

Certificate Effective DateNovember 18, 2024

Certificate Expiration DateNovember 17, 2026

Laboratory DirectorDr. Juliet Gyebi-Foster

Laboratory Phone(301) 874-3431

Laboratory LocationInterventional Pain And Spine Care LLC3280 Urbana Pike #207, Ijamsville, MD 21754

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Interventional Pain And Spine Care, LLC's NPI number?

The NPI number for Interventional Pain And Spine Care, LLC is 1053934174. It was assigned to this organization in the NPPES registry on May 22, 2020.

Where is Interventional Pain And Spine Care, LLC located?

Interventional Pain And Spine Care, LLC is located at 3280 Urbana Pike Ste 207, Ijamsville, MD 21754. The listed phone number is (508) 344-7263.

What is Interventional Pain And Spine Care, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Interventional Pain And Spine Care, LLC enrolled in Medicare?

Yes. Interventional Pain And Spine Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Interventional Pain And Spine Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Interventional Pain And Spine Care, LLC. 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.

Does Interventional Pain And Spine Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2200940) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Interventional Pain And Spine Care, LLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.