INTERVENTIONAL PAIN & SPINE CENTER PLLC
NPI 1114768843
Psychiatry & Neurology - Pain Medicine in Wexford, PA

Active since June 05, 2024
100 BRADFORD ROAD, STE 410, WEXFORD, PA 15090(724) 965-8946(724) 965-8953 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2024, Jul 10, 2024, Jun 5, 2024 (3 updates tracked since 2024).

About Interventional Pain & Spine Center Pllc NPPES

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

INTERVENTIONAL PAIN & SPINE CENTER PLLC (NPI 1114768843) is a healthcare organization registered as a pain medicine in Wexford, Pennsylvania and active in the NPI registry since June 2024. The organization lists Mohammad Khizar Ali, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1114768843
Entity TypeOrganization
Primary Taxonomy2084P2900X
Legal Business NameINTERVENTIONAL PAIN & SPINE CENTER PLLC
Location Address100 BRADFORD ROAD, STE 410Wexford, PA 15090-8489
Mailing Address100 Bradford Road, Ste 410Wexford, PA 15090-8489 · (724) 965-8946 · Fax (724) 965-8953
Fax(724) 965-8953
Organization SubpartNo
Authorized OfficialMohammad Khizar AliAuthorized Official · (724) 965-8946
Enumeration DateJune 5, 2024
Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1114768843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P2900X
Definition
A neurologist, child neurologists or psychiatrist 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.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
100 BRADFORD ROAD, Wexford, PA 15090

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Interventional Pain & Spine Center 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 Interventional Pain & Spine Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pain Management
NPI 1023428919
100 BRADFORD ROAD STE 410
Wexford, PA 15090
(724) 965-8946
✔ PECOS✔ Accepts MedicareSame address

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 Interventional Pain & Spine Center PLLC's NPI number?

The NPI number for Interventional Pain & Spine Center PLLC is 1114768843. It was assigned to this organization in the NPPES registry on June 5, 2024.

Where is Interventional Pain & Spine Center PLLC located?

Interventional Pain & Spine Center PLLC is located at 100 Bradford Road Ste 410, Wexford, PA 15090. The listed phone number is (724) 965-8946.

What is Interventional Pain & Spine Center PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Pain Medicine, with taxonomy code 2084P2900X.

Is Interventional Pain & Spine Center PLLC enrolled in Medicare?

Yes. Interventional Pain & Spine Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Interventional Pain & Spine Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Interventional Pain & Spine Center 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 Interventional Pain & Spine Center PLLC was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.