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PAIN MANAGEMENT 360 LLC
NPI 1821717711
Pain Medicine - Interventional Pain Medicine in Huntington, WV

Active since August 24, 2022
551 21ST ST, HUNTINGTON, WV 25703(917) 935-7788(304) 577-8615 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2024, Dec 1, 2022, Oct 7, 2022 and 1 more (4 updates tracked since 2022).

About Pain Management 360 Llc NPPES

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

PAIN MANAGEMENT 360 LLC (NPI 1821717711) is a healthcare organization registered as an interventional pain medicine in Huntington, West Virginia and active in the NPI registry since August 2022. The organization lists Rudy Malayil, Owner, as its authorized official.

NPPES Registry Identity

NPI1821717711
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePAIN MANAGEMENT 360 LLC
Location Address551 21ST STHuntington, WV 25703-1540
Mailing AddressPo Box 33821Belfast, ME 04915-0616 · (888) 488-8289 · Fax (304) 577-8615
Phone(917) 935-7788
Fax(304) 577-8615
Organization SubpartNo
Authorized OfficialRudy MalayilOwner · (917) 645-2591
Enumeration DateAugust 24, 2022
Last NPPES UpdateApril 26, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1821717711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
551 21ST ST, Huntington, WV 25703
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Other Identifiers 4

Medicaid0000210OH
Medicaid7100858920KY
Medicaid7100858910KY
Medicaid1821717711WV

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 CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pain Management 360 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Pain Management 360 LLC, 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 (6)

Kimberly Thomas, APRN
Nurse Practitioner
NPI 1730924499
551 21ST ST
Huntington, WV 25703
(917) 935-7788
✔ PECOS✔ Accepts MedicareSame address
Rudy Malayil, M.D.
Physical Medicine and Rehabilitation
NPI 1114151347
2900 1ST AVE OPC SUITE 210
Huntington, WV 25702
(304) 525-7246
✔ PECOS✔ Accepts Medicare1.3 mi
Maegen Brennan, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1255881165
3075 US ROUTE 60 STE A110
Huntington, WV 25705
(304) 528-4600
✔ PECOS✔ Accepts Medicare4.2 mi
Patricia Stiltner, FNP-BC
Nurse Practitioner
NPI 1184975138
6475 FARMDALE RD
Barboursville, WV 25504
(304) 529-7000
✔ PECOS✔ Accepts Medicare6.7 mi
Timothy Morgan, DO
Anesthesiology
NPI 1407315732
360 AMSDEN AVE STE 305
Versailles, KY 40383
(502) 570-3767
✔ PECOS✔ Accepts Medicare128 mi
Vivekanand Neginhal, M.D.
Orthopedic Surgery
NPI 1578635074
106 COLUMNS PLAZA DR
Glasgow, KY 42141
(270) 651-9390
✔ PECOS✔ Accepts Medicare214 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 Pain Management 360 LLC's NPI number?

The NPI number for Pain Management 360 LLC is 1821717711. It was assigned to this organization in the NPPES registry on August 24, 2022.

Where is Pain Management 360 LLC located?

Pain Management 360 LLC is located at 551 21st St, Huntington, WV 25703. The listed phone number is (917) 935-7788.

What is Pain Management 360 LLC's specialty?

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

Is Pain Management 360 LLC enrolled in Medicare?

Yes. Pain Management 360 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pain Management 360 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Pain Management 360 LLC. 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. The largest specialties are Nurse Practitioner (3), Anesthesiology (1) and Orthopedic Surgery (1). 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.

What insurance does Pain Management 360 LLC accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Pain Management 360 LLC 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 Pain Management 360 LLC was last updated on April 26, 2024. 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.