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KENTUCKY SPINE AND PAIN CARE
NPI 1881091098
Anesthesiology - Pain Medicine in London, KY

Active since December 03, 2014CLIA 18D2039346 · Waiver
106 FORTRESS PROPERTIES ST, SUITE 2, LONDON, KY 40741(606) 877-4560(606) 877-4578 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kentucky Spine And Pain Care NPPES

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

KENTUCKY SPINE AND PAIN CARE (NPI 1881091098) is a healthcare organization registered as a pain medicine in London, Kentucky and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Munawar Siddiqi, Owner, as its authorized official.

NPPES Registry Identity

NPI1881091098
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameKENTUCKY SPINE AND PAIN CARE
Location Address106 FORTRESS PROPERTIES ST, SUITE 2London, KY 40741-3125
Mailing Address106 Fortress Properties St, Suite 2London, KY 40741-3125 · (606) 877-4560 · Fax (606) 877-4578
Phone(606) 877-4560
Fax(606) 877-4578
Organization SubpartNo
Authorized OfficialMunawar SiddiqiOwner · (606) 877-4560
Enumeration DateDecember 3, 2014
Last NPPES UpdateJanuary 29, 2015
✔ NPI 1881091098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
106 FORTRESS PROPERTIES ST, London, KY 40741
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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 MULTIPLE 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kentucky Spine And Pain Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Munawar Siddiqi, M.D.
Pain Management
NPI 1689643801
106 FORTRESS PROPERTIES ST SUITE 2
London, KY 40741
(859) 224-9989
✔ PECOS✔ Accepts Medicare3.5 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 Waiver 18D2039346

Kentucky Spine And Pain Care · London, KY
Active · expires Mar 3, 2027
CLIA Number18D2039346
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorMunawar Siddiqi
Laboratory Phone(606) 877-4560
Laboratory LocationKentucky Spine And Pain Care2135 Hwy 30 Bypass, London, KY 40741
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kentucky Spine And Pain Care's NPI number?

The NPI number for Kentucky Spine And Pain Care is 1881091098. It was assigned to this organization in the NPPES registry on December 3, 2014.

Where is Kentucky Spine And Pain Care located?

Kentucky Spine And Pain Care is located at 106 Fortress Properties St Suite 2, London, KY 40741. The listed phone number is (606) 877-4560.

What is Kentucky Spine And Pain Care's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Kentucky Spine And Pain Care enrolled in Medicare?

Yes. Kentucky Spine And Pain Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kentucky Spine And Pain Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Kentucky Spine And Pain Care. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kentucky Spine And Pain Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2039346) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kentucky Spine And Pain Care was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.