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INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC
NPI 1134880487
Pain Medicine - Interventional Pain Medicine in Vero Beach, FL

Active since January 07, 2022CLIA Certified · 3 labs
777 37TH ST STE C101, VERO BEACH, FL 32960(908) 303-8044 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2023, Jan 7, 2022 (2 updates tracked since 2022).

About Interventional Spine And Pain Institute Llc NPPES

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

INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC (NPI 1134880487) is a healthcare organization registered as an interventional pain medicine in Vero Beach, Florida and active in the NPI registry since January 2022. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Phaedra L Shudra, Credentialing & Contracting Spec, as its authorized official.

NPPES Registry Identity

NPI1134880487
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINTERVENTIONAL SPINE AND PAIN INSTITUTE LLC
Location Address777 37TH ST STE C101Vero Beach, FL 32960-7301
Mailing Address777 37th St Ste C101Vero Beach, FL 32960-7301 · (772) 360-1997 · Fax (772) 492-3541
Phone(908) 303-8044
Organization SubpartNo
Authorized OfficialPhaedra L ShudraCredentialing & Contracting Spec · (813) 785-4861
Enumeration DateJanuary 7, 2022
Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1134880487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
777 37TH ST STE C101, Vero Beach, FL 32960
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Secondary Practice Locations 2

Location 16559 N Wickham RdMelbourne, FL 32940-2052 · Phone (772) 360-1997 · Fax (772) 492-3541
Location 25200 Babcock St NE Ste 111Palm Bay, FL 32905-4639 · Phone (772) 360-1997 · Fax (772) 492-3541

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL).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)

Interventional Spine And Pain Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Interventional Spine And Pain Institute LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Michael Esposito, M.D.
Interventional Pain Management
NPI 1043521198
777 37TH ST STE C101
Vero Beach, FL 32960
(772) 360-1997
✔ PECOS✔ Accepts MedicareSame address
Nathaniel Soter, DNP
Nurse Practitioner
NPI 1184500456
777 37TH ST
Vero Beach, FL 32960
(772) 360-1997
✔ PECOSSame address
Christopher Weeden, MD
Pain Management
NPI 1538628482
777 37TH ST STE C101
Vero Beach, FL 32960
(772) 360-1997
✔ PECOS✔ Accepts MedicareSame address
Melissa Burgos-Martir, MD
Physical Medicine and Rehabilitation
NPI 1821390584
1344 S APOLLO BLVD STE 200B
Melbourne, FL 32901
(321) 499-4646
✔ PECOS✔ Accepts Medicare33 mi
John Welch, ANP-BC, RN
Nurse Practitioner
NPI 1912228495
2113 SARNO RD
Melbourne, FL 32935
(321) 676-0558
✔ PECOS✔ Accepts Medicare36 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 3

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 Compliance 10D2287932

Interventional Spine And Pain Institute LLC · Palm Bay, FL
Active · expires Apr 6, 2028
CLIA Number10D2287932
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorSusana T. Ferra
Laboratory Phone(321) 374-6850
Laboratory LocationInterventional Spine And Pain Institute LLC5200 Babcock St NE, Suite 111, Palm Bay, FL 32905
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 10D2335162

Interventional Spine And Pain Institute LLC · Melbourne, FL
Active · expires Dec 7, 2027
CLIA Number10D2335162
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorMichael F. Esposito
Laboratory Phone(321) 374-6850
Laboratory LocationInterventional Spine And Pain Institute LLC6559 N Wickham Rd Unit C-102, Melbourne, FL 32940
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2250261

Interventional Spine And Pain Institute LLC · Vero Beach, FL
Active · expires Jan 25, 2028
CLIA Number10D2250261
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorMichael F. Esposito
Laboratory Phone(908) 303-8044
Laboratory LocationInterventional Spine And Pain Institute LLC777 37th Street, Ste C-101, Vero Beach, FL 32960
CLIA data matches this NPI record on: 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 Interventional Spine And Pain Institute LLC's NPI number?

The NPI number for Interventional Spine And Pain Institute LLC is 1134880487. It was assigned to this organization in the NPPES registry on January 7, 2022.

Where is Interventional Spine And Pain Institute LLC located?

Interventional Spine And Pain Institute LLC is located at 777 37th St Ste C101, Vero Beach, FL 32960. The listed phone number is (908) 303-8044.

What is Interventional Spine And Pain Institute LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Interventional Spine And Pain Institute LLC enrolled in Medicare?

Yes. Interventional Spine And Pain Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Interventional Spine And Pain Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Interventional Spine And Pain Institute LLC, in Interventional Pain Management, Nurse Practitioner, Pain Management and Physical Medicine and Rehabilitation. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Interventional Spine And Pain Institute LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Interventional Spine And Pain Institute LLC accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) list Interventional Spine And Pain Institute LLC 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 Interventional Spine And Pain Institute LLC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.