MARYLAND PAIN & REGENERATIVE CENTER, LLC
NPI 1104467463
Pain Medicine - Interventional Pain Medicine in Waldorf, MD

Q: What is Maryland Pain & Regenerative Center, LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since October 07, 2019

3500 OLD WASHINGTON RD STE 202, WALDORF, MD 20602(301) 659-0003 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2026, Jun 27, 2025, Aug 21, 2024 and 4 more (7 updates tracked since 2019).

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About Maryland Pain & Regenerative Center, Llc NPPES

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

MARYLAND PAIN & REGENERATIVE CENTER, LLC (NPI 1104467463), doing business as Dominion Primary Care, is a healthcare organization registered as an interventional pain medicine in Waldorf, Maryland and active in the NPI registry since October 2019. The organization maintains 2 additional practice locations and lists Ritu Varma, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1104467463

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameMARYLAND PAIN & REGENERATIVE CENTER, LLC

Location Address3500 OLD WASHINGTON RD STE 202Waldorf, MD 20602-3238

Mailing Address2296 Opitz Blvd, Ste 110 - 120Woodbridge, VA 22191-3300 · (301) 829-7693 · Fax (301) 829-7694

Phone(301) 659-0003

Organization SubpartNo

Authorized OfficialRitu VarmaOwner/physician · (419) 819-7394

Enumeration DateOctober 7, 2019

Last NPPES UpdateMay 1, 20267 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1104467463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X

3500 OLD WASHINGTON RD STE 202, Waldorf, MD 20602

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Other Names 2

Doing Business AsDominion Primary Care

Doing Business AsDominion Spine And Pain

Secondary Practice Locations 2

Location 12296 Opitz Blvd Ste 110120Woodbridge, VA 22191-3300 · Phone (301) 829-7693 · Fax (301) 829-7694

Location 26128 Brandon Ave Ste 208210Springfield, VA 22150-2640 · Phone (301) 659-0003 · Fax (301) 829-7694

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

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 Maryland Pain & Regenerative Center, LLC's NPI number?

The NPI number for Maryland Pain & Regenerative Center, LLC is 1104467463. It was assigned to this organization in the NPPES registry on October 7, 2019. The provider is doing business as Dominion Primary Care and Dominion spine and pain.

Where is Maryland Pain & Regenerative Center, LLC located?

Maryland Pain & Regenerative Center, LLC is located at 3500 Old Washington Rd Ste 202, Waldorf, MD 20602. The listed phone number is (301) 659-0003.

What is Maryland Pain & Regenerative Center, LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Maryland Pain & Regenerative Center, LLC was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.