WORCESTER PAIN MANAGEMENT PLLC
NPI 1336631456
Pain Medicine - Interventional Pain Medicine in Worcester, MA

Active since June 04, 2018CLIA 22D2148105 · Waiver
116 BELMONT ST RM 34, WORCESTER, MA 01605(508) 904-9026 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Worcester Pain Management Pllc NPPES

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

WORCESTER PAIN MANAGEMENT PLLC (NPI 1336631456) is a healthcare organization registered as an interventional pain medicine in Worcester, Massachusetts and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Demian G Mousad, Owner, as its authorized official.

NPPES Registry Identity

NPI1336631456
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameWORCESTER PAIN MANAGEMENT PLLC
Location Address116 BELMONT ST RM 34Worcester, MA 01605
Mailing Address1 Carlisle TerNatick, MA 01760-2060 · (508) 904-9026
Organization SubpartNo
Authorized OfficialDemian G MousadOwner · (508) 904-9026
Enumeration DateJune 4, 2018
Last NPPES UpdateJune 28, 2018
✔ NPI 1336631456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
116 BELMONT ST RM 34, Worcester, MA 01605

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 MULTIPLE SINGLE 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)

Worcester Pain Management Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Worcester Pain Management PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1538422555
116 BELMONT ST RM 34
Worcester, MA 01605
(508) 713-6063
✔ PECOSSame address
Physical Medicine and Rehabilitation
NPI 1336106574
116 BELMONT ST RM 34
Worcester, MA 01605
(508) 713-6063
✔ 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.

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 22D2148105

Worcester Pain Management · Worcester, MA
Active · expires May 2, 2028
CLIA Number22D2148105
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorDemian G. Mousad
Laboratory Phone(508) 904-9026
Laboratory LocationWorcester Pain Management116 Belmont St Ste 34, Worcester, MA 01605
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 Worcester Pain Management PLLC's NPI number?

The NPI number for Worcester Pain Management PLLC is 1336631456. It was assigned to this organization in the NPPES registry on June 4, 2018.

Where is Worcester Pain Management PLLC located?

Worcester Pain Management PLLC is located at 116 Belmont St Rm 34, Worcester, MA 01605. The listed phone number is (508) 904-9026.

What is Worcester Pain Management PLLC's specialty?

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

Is Worcester Pain Management PLLC enrolled in Medicare?

Yes. Worcester Pain Management PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Worcester Pain Management PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Worcester Pain Management PLLC, in Nurse Practitioner 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Worcester Pain Management PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2148105) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Worcester Pain Management PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Worcester Pain Management 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 Worcester Pain Management PLLC was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.