SOUTHEAST INTERVENTIONAL PAIN SPECIALISTS, INC
NPI 1710618160
Pain Medicine - Interventional Pain Medicine in Saint Johns, FL
About Southeast Interventional Pain Specialists, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST INTERVENTIONAL PAIN SPECIALISTS, INC (NPI 1710618160) is a healthcare organization registered as an interventional pain medicine in Saint Johns, Florida and active in the NPI registry since June 2022. The organization lists Abraham Fura, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeast Interventional Pain Specialists, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southeast Interventional Pain Specialists, Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Southeast Interventional Pain Specialists, Inc's NPI number?
The NPI number for Southeast Interventional Pain Specialists, Inc is 1710618160. It was assigned to this organization in the NPPES registry on June 17, 2022.
Where is Southeast Interventional Pain Specialists, Inc located?
Southeast Interventional Pain Specialists, Inc is located at 112 Bartram Oaks Walk, Saint Johns, FL 32260. The listed phone number is (904) 999-9999.
What is Southeast Interventional Pain Specialists, Inc's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Southeast Interventional Pain Specialists, Inc enrolled in Medicare?
Yes. Southeast Interventional Pain Specialists, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Interventional Pain Specialists, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southeast Interventional Pain Specialists, Inc, in Addiction Medicine 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southeast Interventional Pain Specialists, Inc was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Southeast Interventional Pain Specialists, Inc · NPI 1710618160
Interventional Pain Medicine organization in Saint Johns, Florida. Organization record, active in the CMS NPPES registry since June 17, 2022.
## Identity
- **NPI:** 1710618160 (Entity type: Organization)
- **Enumerated:** June 17, 2022
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Abraham Fura, OWNER
## Practice location
- **Address:** 112 BARTRAM OAKS WALK, Saint Johns, FL 32260-7701
- **Phone:** (904) 999-9999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Addiction Medicine (1), Pain Management (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1710618160) · Data from the CMS NPPES public registry.