OMEGA INTERVENTIONAL PAIN PLLC
NPI 1417253907
Pain Medicine - Pain Medicine in Salt Lake City, UT
About Omega Interventional Pain Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMEGA INTERVENTIONAL PAIN PLLC (NPI 1417253907) is a healthcare organization registered as a pain medicine in Salt Lake City, Utah and active in the NPI registry since February 2011. The organization holds a CLIA Certificate of Compliance certificate valid through March 11, 2027 and lists Steven Pulley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
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)
Omega Interventional Pain Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Omega Interventional Pain PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. 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
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 Compliance 46D1087951
Omega Interventional Pain PLLC · Salt Lake City, UTFrequently 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 Omega Interventional Pain PLLC's NPI number?
The NPI number for Omega Interventional Pain PLLC is 1417253907. It was assigned to this organization in the NPPES registry on February 1, 2011.
Where is Omega Interventional Pain PLLC located?
Omega Interventional Pain PLLC is located at 3838 S 700 E Ste 300, Salt Lake City, UT 84106. The listed phone number is (801) 261-4988.
What is Omega Interventional Pain PLLC's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Omega Interventional Pain PLLC enrolled in Medicare?
Yes. Omega Interventional Pain PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Omega Interventional Pain PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Omega Interventional Pain PLLC, in Interventional Pain Management, Neurosurgery 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Omega Interventional Pain PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 46D1087951) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Omega Interventional Pain PLLC accept?
Health plans from Molina Healthcare list Omega Interventional Pain 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 Omega Interventional Pain PLLC was last updated on October 24, 2023. 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.
# Omega Interventional Pain Pllc · NPI 1417253907
Pain Medicine organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since February 1, 2011.
## Identity
- **NPI:** 1417253907 (Entity type: Organization)
- **Enumerated:** February 1, 2011
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **Organization subpart:** No
- **Authorized official:** Steven Pulley, OWNER
## Practice location
- **Address:** 3838 S 700 E, STE 300, Salt Lake City, UT 84106-1466
- **Phone:** (801) 261-4988 · **Fax:** (801) 269-9425
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (1), Neurosurgery (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2023
- **Other identifiers:** Other 13281983-8906 (UT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417253907) · Data from the CMS NPPES public registry.