Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MODERN PAIN & SPINE PC
NPI 1821695081
Pain Medicine - Interventional Pain Medicine in Albuquerque, NM

Active since October 01, 2020
1540 JUAN TABO BLVD NE STE A, ALBUQUERQUE, NM 87112(505) 529-8511 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2026, Mar 20, 2026, Jul 19, 2023 and 2 more (5 updates tracked since 2020).

About Modern Pain & Spine Pc NPPES

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

MODERN PAIN & SPINE PC (NPI 1821695081) is a healthcare organization registered as an interventional pain medicine in Albuquerque, New Mexico and active in the NPI registry since October 2020. The organization lists Athanasios Kostandinos Manole, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1821695081
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameMODERN PAIN & SPINE PC
Location Address1540 JUAN TABO BLVD NE STE AAlbuquerque, NM 87112-4460
Mailing Address1540 Juan Tabo Blvd Ne Ste AAlbuquerque, NM 87112-4460 · (595) 519-8511
Organization SubpartNo
Authorized OfficialAthanasios Kostandinos ManoleMedical Director · (505) 529-8511
Enumeration DateOctober 1, 2020
Last NPPES UpdateSeptember 23, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1821695081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
1540 JUAN TABO BLVD NE STE A, Albuquerque, NM 87112

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Modern Pain & Spine PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Interventional Pain Management
NPI 1780002220
1540 JUAN TABO BLVD NE STE A
Albuquerque, NM 87112
(505) 529-8511
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1407966369
620 FOUR HILLS RD SE
Albuquerque, NM 87123
(480) 544-4077
✔ PECOS✔ Accepts Medicare3.0 mi
Pain Management
NPI 1003111873
500 WALTER ST NE STE 213
Albuquerque, NM 87102
(505) 727-7177
✔ PECOS✔ Accepts Medicare7.1 mi
Emergency Medicine
NPI 1306290846
MSC 11 6025 1 UNIVERSITY OF NEW MEXICO
Albuquerque, NM 87131
(505) 272-5062
✔ PECOS✔ Accepts Medicare9.7 mi
Anesthesiology
NPI 1962728915
7207 GOLDEN WINGS RD STE 100
Jacksonville, FL 32244
(904) 389-1010
✔ PECOS✔ Accepts Medicare1,481 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 Modern Pain & Spine PC's NPI number?

The NPI number for Modern Pain & Spine PC is 1821695081. It was assigned to this organization in the NPPES registry on October 1, 2020.

Where is Modern Pain & Spine PC located?

Modern Pain & Spine PC is located at 1540 Juan Tabo Blvd NE Ste A, Albuquerque, NM 87112. The listed phone number is (505) 529-8511.

What is Modern Pain & Spine PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Modern Pain & Spine PC enrolled in Medicare?

Yes. Modern Pain & Spine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Pain & Spine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Modern Pain & Spine PC, in Anesthesiology, Emergency Medicine, Interventional Pain Management 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 at this address and 4 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 Modern Pain & Spine PC was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.