BLUE WATER PAIN SOLUTIONS, PA
NPI 1316352545
Anesthesiology - Pain Medicine in Pembroke Pines, FL

Active since June 26, 2014CLIA 10D1047170 · Waiver
2010 NW 150TH AVE STE 100, PEMBROKE PINES, FL 33028(954) 447-5206(954) 447-5259 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Blue Water Pain Solutions, Pa NPPES

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

BLUE WATER PAIN SOLUTIONS, PA (NPI 1316352545) is a healthcare organization registered as a pain medicine in Pembroke Pines, Florida and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Lowell S. Davis, President, as its authorized official.

NPPES Registry Identity

NPI1316352545
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameBLUE WATER PAIN SOLUTIONS, PA
Location Address2010 NW 150TH AVE STE 100Pembroke Pines, FL 33028-2888
Mailing Address2010 Nw 150th Ave Ste 100Pembroke Pines, FL 33028-2888 · (954) 447-5206 · Fax (954) 447-5259
Fax(954) 447-5259
Organization SubpartNo
Authorized OfficialLowell S. DavisPresident · (954) 447-5206
Enumeration DateJune 26, 2014
Last NPPES UpdateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1316352545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
2010 NW 150TH AVE STE 100, Pembroke Pines, FL 33028

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

Accepted 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)

Blue Water Pain Solutions, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Blue Water Pain Solutions, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner6
Anesthesiology3
Interventional Pain Management1
Pain Management1
Physical Medicine and Rehabilitation1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1609177781
2010 NW 150TH AVE STE 100
Pembroke Pines, FL 33028
(954) 447-5206
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1114907409
2010 NW 150 AVE SUITE 100
Pembroke Pines, FL 33028
(954) 447-5206
✔ PECOS✔ Accepts MedicareSame address
Interventional Pain Management
NPI 1134414386
2010 NW 150TH AVE STE 100
Pembroke Pines, FL 33028
(954) 447-5206
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1497383863
2010 NW 150TH AVE STE 100
Pembroke Pines, FL 33028
(954) 447-5206
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427647403
1951 SW 172ND AVE STE 205
Miramar, FL 33029
(954) 447-5206
✔ PECOS2.9 mi
Nurse Practitioner
NPI 1740784016
1951 SW 172ND AVE STE 314
Miramar, FL 33029
(954) 447-5206
✔ PECOS✔ Accepts Medicare2.9 mi
Pain Management
NPI 1861717092
1951 SW 172ND AVE STE 314
Miramar, FL 33029
(549) 447-5206
✔ PECOS✔ Accepts Medicare2.9 mi
Anesthesiology
NPI 1124229497
2 OAKWOOD BOULEVARD SUITE 195
Hollywood, FL 33020
(954) 447-5206
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1083147433
7867 N KENDALL DR STE 130&135
Miami, FL 33156
(305) 598-1555
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1386311298
9970 CENTRAL PARK BLVD N STE 207
Boca Raton, FL 33428
(561) 482-1027
✔ PECOS24 mi
Anesthesiology
NPI 1558341354
2513 S DIXIE HWY
West Palm Beach, FL 33401
(561) 331-2983
✔ PECOS49 mi
Nurse Practitioner
NPI 1093312480
500 MARQUETTE AVE NW STE 1200
Albuquerque, NM 87102
(866) 849-0692
✔ PECOS✔ Accepts Medicare1,681 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 10D1047170

Blue Water Pain Solutions · Pembroke Pines, FL
Active · expires Oct 26, 2027
CLIA Number10D1047170
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorLowell S. Davis
Laboratory Phone(954) 838-2657
Laboratory LocationBlue Water Pain Solutions2010 NW 150th Avenue Suite 100, Pembroke Pines, FL 33028
CLIA data matches this NPI record on: Address Name
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 Blue Water Pain Solutions, PA's NPI number?

The NPI number for Blue Water Pain Solutions, PA is 1316352545. It was assigned to this organization in the NPPES registry on June 26, 2014.

Where is Blue Water Pain Solutions, PA located?

Blue Water Pain Solutions, PA is located at 2010 NW 150th Ave Ste 100, Pembroke Pines, FL 33028. The listed phone number is (954) 447-5206.

What is Blue Water Pain Solutions, PA's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Blue Water Pain Solutions, PA enrolled in Medicare?

Yes. Blue Water Pain Solutions, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Water Pain Solutions, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to Blue Water Pain Solutions, PA. 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 (6), Anesthesiology (3) and Interventional Pain Management (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Blue Water Pain Solutions, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1047170) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blue Water Pain Solutions, PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Blue Water Pain Solutions, PA 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 Blue Water Pain Solutions, PA was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.