GONZAGA INTERVENTIONAL PAIN MANAGEMENT
NPI 1073608253
Pain Medicine - Pain Medicine in Lavale, MD
About Gonzaga Interventional Pain Management NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GONZAGA INTERVENTIONAL PAIN MANAGEMENT (NPI 1073608253) is a healthcare organization registered as a pain medicine in Lavale, Maryland and active in the NPI registry since October 2006. The organization lists Melvin R Gonzaga, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Gonzaga Interventional Pain Management is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Gonzaga Interventional Pain Management, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Lavale, MD 21501
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 Garrett Anesthesia And Pain Management's NPI number?
The NPI number for Garrett Anesthesia And Pain Management is 1073608253. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Gonzaga Interventional Pain Management.
Where is Garrett Anesthesia And Pain Management located?
Garrett Anesthesia And Pain Management is located at 957 National Hwy, Lavale, MD 21502. The listed phone number is (240) 362-7128.
What is Garrett Anesthesia And Pain Management's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Garrett Anesthesia And Pain Management enrolled in Medicare?
Yes. Garrett Anesthesia And Pain Management is registered in the Medicare PECOS enrollment system.
When is Garrett Anesthesia And Pain Management'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 (Maryland, Clinic/Group Practice) is due for revalidation by November 30, 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 Garrett Anesthesia And Pain Management?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Garrett Anesthesia And Pain Management, in General Practice, Interventional Pain Management and Nurse Practitioner. 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, 1 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 Garrett Anesthesia And Pain Management was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Gonzaga Interventional Pain Management · NPI 1073608253
Pain Medicine organization in Lavale, Maryland. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1073608253 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **Legal business name:** Garrett Anesthesia And Pain Management
- **Organization subpart:** No
- **Authorized official:** Melvin Gonzaga, OWNER
## Practice location
- **Address:** 957 NATIONAL HWY, Lavale, MD 21502
- **Phone:** (240) 362-7128 · **Fax:** (240) 362-7129
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Maryland, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Interventional Pain Management (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2018
- **Other identifiers:** Medicaid 961521100 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1073608253) · Data from the CMS NPPES public registry.