FAMILY SPINE AND PAIN CARE INSTITUTE LLC
NPI 1619442209
Pain Medicine - Pain Medicine in Venice, FL

Q: What is Family Spine And Pain Care Institute LLC's specialty?

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

Active since October 10, 2018CLIA 10D2265350 · Accreditation

1525 TAMIAMI TRL S STE 601, VENICE, FL 34285(231) 638-1853 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2023, Oct 10, 2018 (2 updates tracked since 2018).

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About Family Spine And Pain Care Institute Llc NPPES

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

FAMILY SPINE AND PAIN CARE INSTITUTE LLC (NPI 1619442209) is a healthcare organization registered as a pain medicine in Venice, Florida and active in the NPI registry since October 2018. The organization holds an CLIA Accreditation certificate valid through June 30, 2028 and lists Tatiana Robles, Practice Admin, as its authorized official.

NPPES Registry Identity

NPI1619442209

Entity TypeOrganization

Primary Taxonomy208VP0000X

Legal Business NameFAMILY SPINE AND PAIN CARE INSTITUTE LLC

Location Address1525 TAMIAMI TRL S STE 601Venice, FL 34285-3568

Mailing Address2338 Immokalee Rd # 203Naples, FL 34110-1445 · (231) 638-1853 · Fax (239) 790-5050

Phone(231) 638-1853

Organization SubpartNo

Authorized OfficialTatiana RoblesPractice Admin · (239) 300-0987

Enumeration DateOctober 10, 2018

Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration

NPPES CertifiedNovember 15, 2023

✔ NPI 1619442209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1525 TAMIAMI TRL S STE 601, Venice, FL 34285

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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)

Family Spine And Pain Care Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Family Spine And Pain Care Institute LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Omar Henriquez, M.D.

Pain Management

NPI 1306072004

1525 TAMIAMI TRL S STE 601
Venice, FL 34285

(941) 237-0050

✔ PECOS✔ Accepts Medicare0.1 mi

Irina Kasperovich, FNP-C

Nurse Practitioner

NPI 1366224495

2344 CARAWAY DR
Venice, FL 34292

(773) 930-8731

✔ PECOS4.9 mi

Ryan Budwany, MD

Pain Management

NPI 1013302140

3653 LAWRENCEVILLE HWY
Lawrenceville, GA 30044

(304) 404-7868

✔ PECOS✔ Accepts Medicare481 mi

Luke Mccarthy, RN

Nurse Practitioner

NPI 1881153146

1725 E BOULDER ST STE 101
Colorado Springs, CO 80909

(719) 365-6300

✔ PECOS1,525 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 Accreditation 10D2265350

Family Spine And Pain Care Institute LLC · Venice, FL

Active · expires Jun 30, 2028

CLIA Number10D2265350

Laboratory TypePhysician Office

Certificate Effective DateJuly 1, 2026

Certificate Expiration DateJune 30, 2028

Laboratory DirectorOmar H. Henriquez

Laboratory Phone(941) 237-0050

Laboratory LocationFamily Spine And Pain Care Institute LLC1505 S Tamiami Trail Suite 405, Venice, FL 34285

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Family Spine And Pain Care Institute LLC's NPI number?

The NPI number for Family Spine And Pain Care Institute LLC is 1619442209. It was assigned to this organization in the NPPES registry on October 10, 2018.

Where is Family Spine And Pain Care Institute LLC located?

Family Spine And Pain Care Institute LLC is located at 1525 Tamiami Trl S Ste 601, Venice, FL 34285. The listed phone number is (231) 638-1853.

What is Family Spine And Pain Care Institute LLC's specialty?

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

Is Family Spine And Pain Care Institute LLC enrolled in Medicare?

Yes. Family Spine And Pain Care Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Spine And Pain Care Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Family Spine And Pain Care Institute LLC, in Nurse Practitioner and 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Spine And Pain Care Institute LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2265350) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Spine And Pain Care Institute LLC was last updated on November 15, 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.