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COMPREHENSIVE PAIN CARE CENTER, INC
NPI 1124095112
Specialist in Lorain, OH

Active since March 08, 2006CLIA 36D1046736 · Waiver
4804 LEAVITT RD, STE A, LORAIN, OH 44053(440) 989-2066(440) 989-1153 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Comprehensive Pain Care Center, Inc NPPES

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

COMPREHENSIVE PAIN CARE CENTER, INC (NPI 1124095112) is a healthcare organization registered as a specialist in Lorain, Ohio and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Lori Dalzell, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1124095112
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOMPREHENSIVE PAIN CARE CENTER, INC
Location Address4804 LEAVITT RD, STE ALorain, OH 44053-2139
Mailing Address4804 Leavitt Rd, Ste ALorain, OH 44053-2139 · (440) 989-2066 · Fax (440) 989-1153
Phone(440) 989-2066
Fax(440) 989-1153
Organization SubpartNo
Authorized OfficialLori DalzellBilling Manager · (440) 246-8013
Enumeration DateMarch 8, 2006
Last NPPES UpdateOctober 7, 2016
✔ NPI 1124095112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4804 LEAVITT RD, Lorain, OH 44053
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Other Identifiers 7

Medicare ID-Type Unspecified9324141OH · Palmetto Gba
Medicaid2065401OH
Other=========01OH · Ohio Bureau Of Workers Co
Other101259OH · Kaiser Permenente
Other128429100OH · Federal Workers
Medicare PINCK3184OH
Medicare NSC5228480001OH

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Comprehensive Pain Care Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Comprehensive Pain Care Center, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Wanda Galvan Rivera
Nurse Practitioner
NPI 1578103354
4804 LEAVITT RD
Lorain, OH 44053
(440) 989-2066
✔ PECOS✔ Accepts MedicareSame address
Sameh Yonan, MD
Pain Management
NPI 1013092147
4804 LEAVITT RD
Lorain, OH 44053
(440) 989-2066
✔ PECOS✔ Accepts MedicareSame address
Osama Malak, M.D.
Interventional Pain Management
NPI 1245218775
4804 LEAVITT RD
Lorain, OH 44053
(440) 989-2066
✔ PECOS✔ Accepts MedicareSame address
Maher Kodsy, M.D.
Anesthesiology
NPI 1730161746
630 E RIVER ST
Elyria, OH 44035
(440) 329-7536
✔ PECOS✔ Accepts Medicare7.0 mi
Jeanine Willis, CNP
Nurse Practitioner
NPI 1356776975
18099 LORAIN AVE STE 445
Cleveland, OH 44111
(440) 886-1800
✔ PECOS✔ Accepts Medicare20 mi
Mary Krueger
Nurse Practitioner
NPI 1871077032
6975 W 130TH ST
Parma Heights, OH 44130
(440) 888-7487
✔ PECOS22 mi
Carmelita Rhodes, CNP
Nurse Practitioner
NPI 1427560515
2500 METROHEALTH DR
Cleveland, OH 44109
(216) 778-3470
✔ PECOS✔ Accepts Medicare27 mi
Tommi Haidet
Nurse Practitioner
NPI 1043776818
12080 EASTON ST NE
Alliance, OH 44601
(330) 257-4594
✔ PECOS66 mi
Nicholas Volchko, M.D.
Pain Management
NPI 1619313970
130 CENTER WAY
Corning, NY 14830
(607) 973-8000
✔ PECOS✔ Accepts Medicare271 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 36D1046736

Comprehensive Pain Care Center Inc · Lorain, OH
Active · expires Oct 17, 2027
CLIA Number36D1046736
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorBharat Shah
Laboratory Phone(440) 989-2066
Laboratory LocationComprehensive Pain Care Center Inc4804 Leavitt Road, Lorain, OH 44053
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Comprehensive Pain Care Center, Inc's NPI number?

The NPI number for Comprehensive Pain Care Center, Inc is 1124095112. It was assigned to this organization in the NPPES registry on March 8, 2006.

Where is Comprehensive Pain Care Center, Inc located?

Comprehensive Pain Care Center, Inc is located at 4804 Leavitt Rd Ste A, Lorain, OH 44053. The listed phone number is (440) 989-2066.

What is Comprehensive Pain Care Center, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Comprehensive Pain Care Center, Inc enrolled in Medicare?

Yes. Comprehensive Pain Care Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Comprehensive Pain Care Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Comprehensive Pain Care Center, Inc. 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 (5), Pain Management (2) and Anesthesiology (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Comprehensive Pain Care Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1046736) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Comprehensive Pain Care Center, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Comprehensive Pain Care Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Comprehensive Pain Care Center, Inc was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.