KNOX PAIN MANAGEMENT MEDICAL PRACTICE PLLC
NPI 1104593870
Anesthesiology - Pain Medicine in Somers, NY

Active since August 30, 2021
340 ROUTE 202, SOMERS, NY 10589(845) 254-1155(631) 736-1332 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Knox Pain Management Medical Practice Pllc NPPES

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

KNOX PAIN MANAGEMENT MEDICAL PRACTICE PLLC (NPI 1104593870) is a healthcare organization registered as a pain medicine in Somers, New York and active in the NPI registry since August 2021. The organization lists Jenny Newcomb, Office, as its authorized official.

NPPES Registry Identity

NPI1104593870
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameKNOX PAIN MANAGEMENT MEDICAL PRACTICE PLLC
Location Address340 ROUTE 202Somers, NY 10589-3237
Mailing Address340 Route 202Somers, NY 10589-3237 · (845) 254-1155 · Fax (631) 736-1332
Fax(631) 736-1332
Organization SubpartNo
Authorized OfficialJenny NewcombOffice · (631) 736-4064
Enumeration DateAugust 30, 2021
Last NPPES UpdateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1104593870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
340 ROUTE 202, Somers, NY 10589

Other Identifiers 1

Medicaid05241869NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Knox Pain Management Medical Practice Pllc 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 Knox Pain Management Medical Practice PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pain Management
NPI 1891134532
100 WOODS RD
Valhalla, NY 10595
(914) 493-2363
✔ PECOS✔ Accepts Medicare18 mi

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 Knox Pain Management Medical Practice PLLC's NPI number?

The NPI number for Knox Pain Management Medical Practice PLLC is 1104593870. It was assigned to this organization in the NPPES registry on August 30, 2021.

Where is Knox Pain Management Medical Practice PLLC located?

Knox Pain Management Medical Practice PLLC is located at 340 Route 202, Somers, NY 10589. The listed phone number is (845) 254-1155.

What is Knox Pain Management Medical Practice PLLC's specialty?

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

Is Knox Pain Management Medical Practice PLLC enrolled in Medicare?

Yes. Knox Pain Management Medical Practice PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Knox Pain Management Medical Practice PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Knox Pain Management Medical Practice PLLC. 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.

When was this NPI record last updated?

The NPPES record for Knox Pain Management Medical Practice PLLC was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.