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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, 2020CLIA 32D2239369 · Waiver
1540 JUAN TABO BLVD NE STE A, ALBUQUERQUE, NM 87112(505) 529-8511 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2026, Jul 19, 2023, Feb 17, 2021 and 1 more (4 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 holds a CLIA Waiver certificate valid through October 11, 2027 and 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
Phone(505) 529-8511
Organization SubpartNo
Authorized OfficialAthanasios Kostandinos ManoleMedical Director · (505) 529-8511
Enumeration DateOctober 1, 2020
Last NPPES UpdateJune 10, 20264 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1821695081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 · Public Health & General Preventive MedicineTaxonomy 2083P0901X
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
1540 JUAN TABO BLVD NE STE A, Albuquerque, NM 87112
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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 Waiver 32D2239369

Modren Pain & Spine, PC · Albuquerque, NM
Active · expires Oct 11, 2027
CLIA Number32D2239369
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorAthanasios K. Manole
Laboratory Phone(505) 800-7246
Laboratory LocationModren Pain & Spine, PC1540 Juan Tabo, Albuquerque, NM 87112
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ATHANASIOS KOSTANDINOS MANOLE MD
Pain Medicine (Interventional Pain Medicine)
1540 JUAN TABO BLVD NE STE A
ALBUQUERQUE, NM 87112
Bernalillo County (505) 529-8511

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.

Does Modern Pain & Spine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2239369) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Modern Pain & Spine PC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Modern Pain & Spine PC 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 Modern Pain & Spine PC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 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.