I SPINE, PC
NPI 1518632199
Anesthesiology - Pain Medicine in Waterbury, CT

Active since August 16, 2021
1389 W MAIN ST STE 123, WATERBURY, CT 06708(203) 755-5555(203) 819-7739 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2022, Aug 26, 2021, Aug 16, 2021 (3 updates tracked since 2021).

About I Spine, Pc NPPES

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

I SPINE, PC (NPI 1518632199) is a healthcare organization registered as a pain medicine in Waterbury, Connecticut and active in the NPI registry since August 2021. The organization lists Tamar Ghaly, Owner And Physician, as its authorized official.

NPPES Registry Identity

NPI1518632199
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameI SPINE, PC
Location Address1389 W MAIN ST STE 123Waterbury, CT 06708-3104
Mailing Address60 Prinz CtCheshire, CT 06410-2972
Fax(203) 819-7739
Organization SubpartNo
Authorized OfficialTamar GhalyOwner And Physician · (917) 526-7039
Enumeration DateAugust 16, 2021
Last NPPES UpdateMarch 3, 20223 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1518632199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
1389 W MAIN ST STE 123, Waterbury, CT 06708

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 MULTIPLE SINGLE SPECIALTY GROUP

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)

I Spine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 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.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20211026002134Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to I Spine, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Interventional Pain Management
NPI 1982882239
263 FARMINGTON AVE
Farmington, CT 06030
(860) 679-8080
✔ PECOS✔ Accepts Medicare19 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 I Spine, PC's NPI number?

The NPI number for I Spine, PC is 1518632199. It was assigned to this organization in the NPPES registry on August 16, 2021.

Where is I Spine, PC located?

I Spine, PC is located at 1389 W Main St Ste 123, Waterbury, CT 06708. The listed phone number is (203) 755-5555.

What is I Spine, PC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is I Spine, PC enrolled in Medicare?

Yes. I Spine, PC is registered in the Medicare PECOS enrollment system.

When is I Spine, PC'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 (Connecticut, Clinic/Group Practice) is due for revalidation by October 31, 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 I Spine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to I Spine, PC. 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.

When was this NPI record last updated?

The NPPES record for I Spine, PC was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.