SOUTHBRIDGE INTERVENTIONAL PAIN ,INC
NPI 1396043071
Pain Medicine - Pain Medicine in Sturbridge, MA

Active since March 04, 2011
48 MAIN ST STE 6, STURBRIDGE, MA 01566(508) 347-9111 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2023, Jun 28, 2016 (2 updates tracked since 2016).

About Southbridge Interventional Pain ,inc NPPES

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

SOUTHBRIDGE INTERVENTIONAL PAIN ,INC (NPI 1396043071) is a healthcare organization registered as a pain medicine in Sturbridge, Massachusetts and active in the NPI registry since March 2011. The organization maintains a secondary practice location in Putnam and lists Ashraf Farid, Owner, as its authorized official.

NPPES Registry Identity

NPI1396043071
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameSOUTHBRIDGE INTERVENTIONAL PAIN,INC
Location Address48 MAIN ST STE 6Sturbridge, MA 01566-1284
Mailing AddressPo Box 426Southbridge, MA 01550-0426 · (508) 347-9111
Organization SubpartNo
Authorized OfficialAshraf FaridOwner · (508) 333-0449
Enumeration DateMarch 4, 2011
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1396043071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 212790 (MA)
48 MAIN ST STE 6, Sturbridge, MA 01566

Other Names 1

Doing Business AsSouthbridge Interventional Pain ,inc

Secondary Practice Location 1

Location 119 Quinebaug AvePutnam, CT 06260-1943 · Phone (508) 333-0449

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 SINGLE SPECIALTY GROUP

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)

Southbridge Interventional Pain ,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by October 31, 2026

This provider holds 2 Medicare enrollments with upcoming revalidation dates. 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.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20110623000168Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
StateConnecticutEnrollment IDO20110525000021Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southbridge Interventional Pain ,inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Interventional Pain Management
NPI 1689751620
48 MAIN ST STE 6
Sturbridge, MA 01566
(508) 347-9111
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1508827593
907 SUMNER ST M201
Stoughton, MA 02072
(508) 941-7000
✔ PECOS✔ Accepts Medicare50 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southbridge Interventional Pain,inc's NPI number?

The NPI number for Southbridge Interventional Pain,inc is 1396043071. It was assigned to this organization in the NPPES registry on March 4, 2011. The provider is doing business as Southbridge Interventional Pain ,inc.

Where is Southbridge Interventional Pain,inc located?

Southbridge Interventional Pain,inc is located at 48 Main St Ste 6, Sturbridge, MA 01566. The listed phone number is (508) 347-9111.

What is Southbridge Interventional Pain,inc's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Southbridge Interventional Pain,inc enrolled in Medicare?

Yes. Southbridge Interventional Pain,inc is registered in the Medicare PECOS enrollment system.

When is Southbridge Interventional Pain,inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Southbridge Interventional Pain,inc holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by October 31, 2026 (Non-DME Part B, Massachusetts, Clinic/Group Practice). 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 Southbridge Interventional Pain,inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southbridge Interventional Pain,inc, in Anesthesiology and Interventional Pain Management. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southbridge Interventional Pain,inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Southbridge Interventional Pain,inc 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 Southbridge Interventional Pain,inc was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.