INTEGRA NEURO PAIN INSTITUTE PA
NPI 1881158939
Psychiatry & Neurology - Neurology in Haines City, FL

Active since January 23, 2019
212 S DIXIE DR, HAINES CITY, FL 33844(863) 547-0788(863) 547-0789 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 21, 2026, Jun 4, 2026, Oct 10, 2022 and 5 more (8 updates tracked since 2019).

About Integra Neuro Pain Institute Pa NPPES

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

INTEGRA NEURO PAIN INSTITUTE PA (NPI 1881158939) is a healthcare organization registered as a neurology in Haines City, Florida and active in the NPI registry since January 2019. The organization maintains a secondary practice location in Orlando and lists Mohammad Masoom Qureshi, President/physician, as its authorized official.

NPPES Registry Identity

NPI1881158939
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameINTEGRA NEURO PAIN INSTITUTE PA
Location Address212 S DIXIE DRHaines City, FL 33844-2801
Mailing Address8297 Champions Gate Blvd Ste 463Champions Gate, FL 33896-8387 · (863) 547-0788 · Fax (863) 547-0789
Fax(863) 547-0789
Organization SubpartNo
Authorized OfficialMohammad Masoom QureshiPresident/physician · (863) 547-0788
Enumeration DateJanuary 23, 2019
Last NPPES UpdateAugust 21, 20268 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1881158939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
212 S DIXIE DR, Haines City, FL 33844

Secondary Practice Location 1

Location 15979 Vineland Rd Ste 114Orlando, FL 32819-7855 · Phone (863) 547-0788 · Fax (863) 547-0789

Other Identifiers 2

Medicaid021662900FL
Other7816080001FL · Dme

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integra Neuro Pain Institute Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Integra Neuro Pain Institute PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1750170999
212 S DIXIE DR
Haines City, FL 33844
(863) 547-0788
✔ PECOS✔ Accepts MedicareSame address
Interventional Pain Management
NPI 1588002505
212 S DIXIE DR
Haines City, FL 33844
(863) 547-0788
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1174520266
7335 W SAND LAKE RD STE 125
Orlando, FL 32819
(497) 930-7132
✔ Accepts Medicare25 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 Integra Neuro Pain Institute PA's NPI number?

The NPI number for Integra Neuro Pain Institute PA is 1881158939. It was assigned to this organization in the NPPES registry on January 23, 2019.

Where is Integra Neuro Pain Institute PA located?

Integra Neuro Pain Institute PA is located at 212 S Dixie Dr, Haines City, FL 33844. The listed phone number is (863) 547-0788.

What is Integra Neuro Pain Institute PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Integra Neuro Pain Institute PA enrolled in Medicare?

Yes. Integra Neuro Pain Institute PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integra Neuro Pain Institute PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Integra Neuro Pain Institute PA, in Chiropractic, Interventional Pain Management and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Integra Neuro Pain Institute PA accept?

Health plans from AvMed list Integra Neuro Pain Institute PA 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 Integra Neuro Pain Institute PA was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.