PAIN MANAGEMENT CENTER OF NAPLES LLC
NPI 1477668291
Physical Medicine & Rehabilitation - Pain Medicine in Naples, FL

Active since August 20, 2006CLIA 10D1107762 · Waiver
4760 TAMIAMI TRL N STE 27, NAPLES, FL 34103(239) 593-9599(239) 593-4099 Get Directions Write a Review

NPPES record last updated: June 7, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pain Management Center Of Naples Llc NPPES

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

PAIN MANAGEMENT CENTER OF NAPLES LLC (NPI 1477668291) is a healthcare organization registered as a pain medicine in Naples, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Prathima Moorthy, President, as its authorized official.

NPPES Registry Identity

NPI1477668291
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NamePAIN MANAGEMENT CENTER OF NAPLES LLC
Location Address4760 TAMIAMI TRL N STE 27Naples, FL 34103-3057
Mailing Address4760 Tamiami Trail N, Ste 27Naples, FL 34103-3057 · (239) 593-9599 · Fax (239) 593-4099
Fax(239) 593-4099
Organization SubpartNo
Authorized OfficialPrathima MoorthyPresident · (239) 593-9599
Enumeration DateAugust 20, 2006
Last NPPES UpdateJune 7, 2017
✔ NPI 1477668291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in FL · ME 056744
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
4760 TAMIAMI TRL N STE 27, Naples, FL 34103

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pain Management Center Of Naples Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pain Management Center Of Naples LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Interventional Pain Management
NPI 1164537973
4760 TAMIAMI TRAIL NORTH SUITE 27
Naples, FL 34109
(239) 593-9594
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568960581
936 BARCARMIL WAY
Naples, FL 34110
(239) 265-3391
✔ PECOS✔ Accepts Medicare5.1 mi
Nurse Practitioner
NPI 1497052302
11022 LAKELAND CIR
Fort Myers, FL 33913
(239) 209-1277
✔ PECOS✔ Accepts Medicare26 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 10D1107762

Pain Management Center Of Naples · Naples, FL
Active · expires Nov 11, 2027
CLIA Number10D1107762
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorPrathima Moorthy
Laboratory Phone(239) 593-9599
Laboratory LocationPain Management Center Of Naples4760 Tamiami Trail, N Ste 27, Naples, FL 34103
CLIA data matches this NPI record on: Address 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 Pain Management Center Of Naples LLC's NPI number?

The NPI number for Pain Management Center Of Naples LLC is 1477668291. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Pain Management Center Of Naples LLC located?

Pain Management Center Of Naples LLC is located at 4760 Tamiami Trl N Ste 27, Naples, FL 34103. The listed phone number is (239) 593-9599.

What is Pain Management Center Of Naples LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Pain Management Center Of Naples LLC enrolled in Medicare?

Yes. Pain Management Center Of Naples LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pain Management Center Of Naples LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pain Management Center Of Naples LLC, in Interventional Pain Management 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pain Management Center Of Naples LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1107762) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pain Management Center Of Naples LLC was last updated on June 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.