MARYLAND PAIN & REGENERATIVE CENTER, LLC
NPI 1104467463
Pain Medicine - Interventional Pain Medicine in Waldorf, MD
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
Specialties & Licenses 9
Other Names 2
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maryland Pain & Regenerative Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Maryland Pain & Regenerative Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 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.
Is Maryland Pain & Regenerative Center, LLC enrolled in Medicare?
Yes. Maryland Pain & Regenerative Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maryland Pain & Regenerative Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Maryland Pain & Regenerative Center, 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. The largest specialties are Nurse Practitioner (3), Pain Management (2) and Certified Registered Nurse Anesthetist (CRNA) (1). Of these, 1 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 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 6 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.
# Maryland Pain & Regenerative Center, Llc · NPI 1104467463
Interventional Pain Medicine organization in Waldorf, Maryland. Organization record, active in the CMS NPPES registry since October 7, 2019.
## Identity
- **NPI:** 1104467463 (Entity type: Organization)
- **Enumerated:** October 7, 2019
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Also known as:** Dominion Primary Care (Doing Business As); Dominion spine and pain (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ritu Varma, OWNER/PHYSICIAN
## Practice location
- **Address:** 3500 OLD WASHINGTON RD STE 202, Waldorf, MD 20602-3238
- **Phone:** (301) 659-0003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Pain Management (2), Certified Registered Nurse Anesthetist (CRNA) (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104467463) · Data from the CMS NPPES public registry.