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CHARLOTTESVILLE INTERVENTIONAL PAIN MANAGEMENT LLC
NPI 1366952848
Pain Medicine - Interventional Pain Medicine in Charlottesville, VA

Active since October 10, 2017CLIA 49D2016662 · Waiver
2050 ABBEY RD STE A, CHARLOTTESVILLE, VA 22911(434) 295-3600(434) 220-0121 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Mar 17, 2018, Oct 10, 2017 (3 updates tracked since 2017).

About Charlottesville Interventional Pain Management Llc NPPES

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

CHARLOTTESVILLE INTERVENTIONAL PAIN MANAGEMENT LLC (NPI 1366952848) is a healthcare organization registered as an interventional pain medicine in Charlottesville, Virginia and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through November 21, 2026, maintains a secondary practice location in Charlottesville, and lists Rasheed Siddiqui, Owner, as its authorized official.

NPPES Registry Identity

NPI1366952848
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCHARLOTTESVILLE INTERVENTIONAL PAIN MANAGEMENT LLC
Location Address2050 ABBEY RD STE ACharlottesville, VA 22911-3553
Mailing AddressPo Box 8310Roanoke, VA 24014-0310 · (540) 345-3556 · Fax (540) 777-1147
Phone(434) 295-3600
Fax(434) 220-0121
Organization SubpartNo
Authorized OfficialRasheed SiddiquiOwner · (434) 295-3600
Enumeration DateOctober 10, 2017
Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1366952848 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 ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
2050 ABBEY RD STE A, Charlottesville, VA 22911
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Secondary Practice Location 1

Location 1500 Martha Jefferson DrCharlottesville, VA 22911-4668 · Phone (434) 654-7000

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

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 49D2016662

Charlottesville Pain Management Center · Charlottesville, VA
Active · expires Nov 21, 2026
CLIA Number49D2016662
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorSherri S. Johnson
Laboratory Phone(434) 295-3600
Laboratory LocationCharlottesville Pain Management Center2050 Abbey Road - Suite A, Charlottesville, VA 22911
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA-ANN PATRY MD
Anesthesiology
2050 ABBEY RD STE A
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 295-3600

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 Charlottesville Interventional Pain Management LLC's NPI number?

The NPI number for Charlottesville Interventional Pain Management LLC is 1366952848. It was assigned to this organization in the NPPES registry on October 10, 2017.

Where is Charlottesville Interventional Pain Management LLC located?

Charlottesville Interventional Pain Management LLC is located at 2050 Abbey Rd Ste A, Charlottesville, VA 22911. The listed phone number is (434) 295-3600.

What is Charlottesville Interventional Pain Management LLC's specialty?

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

Does Charlottesville Interventional Pain Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2016662) is associated with this NPI, valid through November 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charlottesville Interventional Pain Management LLC was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.