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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC
NPI 1104644657
Physical Medicine & Rehabilitation - Pain Medicine in Annapolis, MD

Active since October 02, 2024CLIA 21D2277919 · Waiver
166 DEFENSE HWY STE 300, ANNAPOLIS, MD 21401(443) 808-1808(443) 214-5356 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About All Star Pain Management And Regenerative Medicine, Llc NPPES

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

ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC (NPI 1104644657), doing business as All Star Pain Management And Regenerative Medicine, is a healthcare organization registered as a pain medicine in Annapolis, Maryland and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Carmen Grey, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1104644657
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC
Location Address166 DEFENSE HWY STE 300Annapolis, MD 21401-8926
Mailing Address166 Defense Hwy Ste 300Annapolis, MD 21401-8926 · (443) 808-1808 · Fax (443) 214-5356
Phone(443) 808-1808
Fax(443) 214-5356
Organization SubpartNo
Authorized OfficialCarmen GreyPractice Manager · (443) 808-1810
Enumeration DateOctober 2, 2024
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1104644657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
166 DEFENSE HWY STE 300, Annapolis, MD 21401
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Other Names 1

Doing Business AsAll Star Pain Management And Regenerative Medicine

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

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 21D2277919

All Star Pain Mgmt & Regenerative Medicine · Bowie, MD
Active · expires Mar 7, 2027
CLIA Number21D2277919
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. Zvezdomir P. Zamfirov
Laboratory Phone(443) 808-1808
Laboratory LocationAll Star Pain Mgmt & Regenerative Medicine4201 Northview Drive #502, Bowie, MD 20716
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL DAVIS DO
Physical Medicine & Rehabilitation
166 DEFENSE HWY STE 300
ANNAPOLIS, MD 21401
Anne Arundel County (443) 808-1808
JANET L. ASCIONE NP-C
Pain Medicine (Pain Medicine)
166 DEFENSE HWY STE 300
ANNAPOLIS, MD 21401
Anne Arundel County (443) 808-1808
MR. ABEL BANKO PA-C
Physician Assistant
166 DEFENSE HWY STE 300
ANNAPOLIS, MD 21401
Anne Arundel County (443) 241-9028

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 All Star Pain Management And Regenerative Medicine, LLC's NPI number?

The NPI number for All Star Pain Management And Regenerative Medicine, LLC is 1104644657. It was assigned to this organization in the NPPES registry on October 2, 2024. The provider is doing business as All Star Pain Management and Regenerative Medicine.

Where is All Star Pain Management And Regenerative Medicine, LLC located?

All Star Pain Management And Regenerative Medicine, LLC is located at 166 Defense Hwy Ste 300, Annapolis, MD 21401. The listed phone number is (443) 808-1808.

What is All Star Pain Management And Regenerative Medicine, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does All Star Pain Management And Regenerative Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2277919) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for All Star Pain Management And Regenerative Medicine, LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.