TRIAD PAIN MANAGEMENT GROUP, PLLC
NPI 1477802536
Clinic/Center - Multi-Specialty in Gold Canyon, AZ
About Triad Pain Management Group, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRIAD PAIN MANAGEMENT GROUP, PLLC (NPI 1477802536) is a healthcare organization registered as a multi-specialty in Gold Canyon, Arizona and active in the NPI registry since September 2012. The organization lists John J Baca, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Triad Pain Management Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Triad Pain Management Group, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Phoenix, AZ 85004
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 Triad Pain Management Group, PLLC's NPI number?
The NPI number for Triad Pain Management Group, PLLC is 1477802536. It was assigned to this organization in the NPPES registry on September 5, 2012.
Where is Triad Pain Management Group, PLLC located?
Triad Pain Management Group, PLLC is located at 5331 S Superstition Mountain Dr Ste C105, Gold Canyon, AZ 85118. The listed phone number is (480) 413-0586.
What is Triad Pain Management Group, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Triad Pain Management Group, PLLC enrolled in Medicare?
Yes. Triad Pain Management Group, PLLC is registered in the Medicare PECOS enrollment system.
When is Triad Pain Management Group, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Triad Pain Management Group, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Triad Pain Management Group, PLLC, in Pain Management and Physical Therapist in Private Practice. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Triad Pain Management Group, PLLC accept?
Health plans from Cigna HealthCare of Arizona, Inc list Triad Pain Management Group, 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 Triad Pain Management Group, PLLC was last updated on July 11, 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.
# Triad Pain Management Group, Pllc · NPI 1477802536
Multi-Specialty organization in Gold Canyon, Arizona. Organization record, active in the CMS NPPES registry since September 5, 2012.
## Identity
- **NPI:** 1477802536 (Entity type: Organization)
- **Enumerated:** September 5, 2012
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** John Baca, CLINICAL DIRECTOR
## Practice location
- **Address:** 5331 S SUPERSTITION MOUNTAIN DR STE C105, Gold Canyon, AZ 85118-1921
- **Phone:** (480) 413-0586 · **Fax:** (480) 730-0487
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pain Management (1), Physical Therapist in Private Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1477802536) · Data from the CMS NPPES public registry.