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

NPI Status: Active since October 02, 2024

Contact Information

166 DEFENSE HWY STE 300
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 808-1808
Fax: (443) 214-5356

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  • Organization
  • Physical Medicine & Rehabilitation
  • Pain Medicine

About ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC

This page provides the complete NPI Profile along with additional information for All Star Pain Management And Regenerative Medicine, Llc, a provider established in Annapolis, Maryland operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1104644657 assigned on October 2024. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kristin Sullivan (Practice Manager)

NPI
1104644657
Provider Name
ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC
Entity Type
Organization
Location Address
166 DEFENSE HWY STE 300 ANNAPOLIS, MD 21401
Location Phone
(443) 808-1808
Location Fax
(443) 214-5356
Mailing Address
166 DEFENSE HWY STE 300 ANNAPOLIS, MD 21401
Mailing Phone
(443) 808-1808
Mailing Fax
(443) 214-5356
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2024
Last Update Date
10-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation Pain Medicine

Taxonomy Code
2081P2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTIN SULLIVAN

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(443) 808-1810

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104644657, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 2 + 4 + 8 + 6 + 1 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104644657.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pain Medicine (Pain Medicine)
166 DEFENSE HWY STE 300
ANNAPOLIS, MD 21401
Physical Medicine & Rehabilitation
166 DEFENSE HWY STE 300
ANNAPOLIS, MD 21401
Physician Assistant
166 DEFENSE HWY STE 300
ANNAPOLIS, MD 21401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104644657, enumerated as an "organization" on October 02, 2024.

The provider is located at 166 DEFENSE HWY STE 300 ANNAPOLIS, MD 21401 and the phone number is (443) 808-1808.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.