ARIZONA PAIN AND SPINE INSTITUTE PLLC
NPI 1316147242
Pain Medicine - Interventional Pain Medicine in Mesa, AZ
About Arizona Pain And Spine Institute Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARIZONA PAIN AND SPINE INSTITUTE PLLC (NPI 1316147242) is a healthcare organization registered as an interventional pain medicine in Mesa, Arizona and active in the NPI registry since July 2007. The organization holds 3 active CLIA laboratory certificates and lists Asim Khan, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Arizona Pain And Spine Institute Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Arizona Pain And Spine Institute PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Waiver 03D1089274
Arizona Pain And Spine Institute · Mesa, AZCertificate of Waiver 03D2179362
Arizona Pain And Spine Institute · Queen Creek, AZCertificate of Waiver 03D2160042
Arizona Pain And Spine Institute · Mesa, AZFrequently 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 Arizona Pain And Spine Institute PLLC's NPI number?
The NPI number for Arizona Pain And Spine Institute PLLC is 1316147242. It was assigned to this organization in the NPPES registry on July 19, 2007.
Where is Arizona Pain And Spine Institute PLLC located?
Arizona Pain And Spine Institute PLLC is located at 2045 S Vineyard Suite 131, Mesa, AZ 85210. The listed phone number is (480) 986-7246.
What is Arizona Pain And Spine Institute PLLC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Arizona Pain And Spine Institute PLLC enrolled in Medicare?
Yes. Arizona Pain And Spine Institute PLLC is registered in the Medicare PECOS enrollment system.
When is Arizona Pain And Spine Institute PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Arizona Pain And Spine Institute PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Arizona Pain And Spine Institute PLLC, in Interventional Pain Management and Nurse Practitioner. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Arizona Pain And Spine Institute PLLC 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 Arizona Pain And Spine Institute PLLC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Arizona Pain And Spine Institute PLLC 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 Arizona Pain And Spine Institute PLLC was last updated on July 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Arizona Pain And Spine Institute Pllc · NPI 1316147242
Interventional Pain Medicine organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since July 19, 2007.
## Identity
- **NPI:** 1316147242 (Entity type: Organization)
- **Enumerated:** July 19, 2007
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Asim Khan, MEMBER
## Practice location
- **Address:** 2045 S VINEYARD, SUITE 131, Mesa, AZ 85210-6889
- **Phone:** (480) 986-7246 · **Fax:** (480) 986-7252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (2), Nurse Practitioner (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2009
- **Other identifiers:** Other P1369677-9 (AZ); Medicare NSC 6209780001 (AZ)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316147242) · Data from the CMS NPPES public registry.