INNOVATIVE PHYSICIAN SERVICES LLC
NPI 1922096049
Physical Medicine & Rehabilitation in Springfield, MA

Active since October 12, 2005
490 PAGE BOULEVARD, SPRINGFIELD, MA 01104(413) 349-5063(413) 363-2857 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2025, Sep 26, 2024, Apr 14, 2023 and 2 more (5 updates tracked since 2016).

About Innovative Physician Services Llc NPPES

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

INNOVATIVE PHYSICIAN SERVICES LLC (NPI 1922096049) is a healthcare organization registered as a physical medicine & rehabilitation in Springfield, Massachusetts and active in the NPI registry since October 2005. The organization maintains a secondary practice location in Kissimmee and lists Adnan M Dahdul, Owner/ceo/officer, as its authorized official.

NPPES Registry Identity

NPI1922096049
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameINNOVATIVE PHYSICIAN SERVICES LLC
Location Address490 PAGE BOULEVARDSpringfield, MA 01104
Mailing Address95 Frank B Murray StSpringfield, MA 01103-1106 · (413) 301-6019 · Fax (413) 363-2857
Fax(413) 363-2857
Organization SubpartNo
Authorized OfficialAdnan M DahdulOwner/ceo/officer · (413) 301-6019
Enumeration DateOctober 12, 2005
Last NPPES UpdateAugust 6, 20255 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1922096049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedChiropractorTaxonomy 111N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
490 PAGE BOULEVARD, Springfield, MA 01104

Secondary Practice Location 1

Location 1512 W Cherry St Ste CKissimmee, FL 34741-4114 · Phone (321) 400-5013 · Fax (413) 363-9123

Other Identifiers 6

Medicaid9721690MA
Medicaid110068493CMA
Medicaid118236600FL
OtherM18224MA · Blue Cross
Medicaid30214102NH
Other4D55MA · Dph License

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)

Innovative Physician Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Innovative Physician Services LLC, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Chiropractic8
Physical Therapist in Private Practice6
Nurse Practitioner5
Internal Medicine2
Physical Medicine and Rehabilitation2
Psychiatry2
Clinical Social Worker1
Physician Assistant1

Nearest to this location (20)

See all 27
Chiropractic
NPI 1336257807
1003 SAINT JAMES AVE UNIT 2
Springfield, MA 01104
(413) 455-3625
✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1831258102
300 STAFFORD ST SUITE 360
Springfield, MA 01104
(413) 734-8440
✔ PECOS✔ Accepts Medicare2.3 mi
Physician Assistant
NPI 1790755080
759 CHESTNUT STREET
Springfield, MA 01109
(413) 794-8121
✔ PECOS✔ Accepts Medicare2.4 mi
Physical Medicine and Rehabilitation
NPI 1689836702
438 CHESTNUT ST
Springfield, MA 01107
(413) 781-1100
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1396386512
50 MAPLE ST
Springfield, MA 01103
(413) 748-6884
✔ PECOS✔ Accepts Medicare2.8 mi
Physical Therapist in Private Practice
NPI 1972714830
300 BIRNIE AVE
Springfield, MA 01107
(203) 464-4922
✔ Accepts Medicare2.8 mi
Chiropractic
NPI 1003321878
95 FRANK B MURRAY ST
Springfield, MA 01103
(413) 301-6019
2.9 mi
Chiropractic
NPI 1821037565
155 UNION ST
Springfield, MA 01105
(413) 732-0088
✔ Accepts Medicare2.9 mi
Physical Therapist in Private Practice
NPI 1700720034
95 FRANK B MURRAY ST
Springfield, MA 01103
(413) 301-6019
✔ Accepts Medicare3.5 mi
Physical Therapist in Private Practice
NPI 1649679739
1 MOODY ST
Ludlow, MA 01056
(413) 785-4666
✔ Accepts Medicare4.5 mi
Physical Medicine and Rehabilitation
NPI 1720064983
222 STATE ST
Ludlow, MA 01056
(413) 308-3300
✔ PECOS✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1194443242
294 N MAIN ST
East Longmeadow, MA 01028
(413) 224-1009
✔ PECOS✔ Accepts Medicare4.9 mi
Physical Therapist in Private Practice
NPI 1992167464
540 MAIN ST
Worcester, MA 01608
(507) 438-7490
✔ Accepts Medicare40 mi
Internal Medicine
NPI 1396727806
390 MAIN ST SUITE 509
Worcester, MA 01608
(508) 753-4151
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1639764749
366 SHREWSBURY ST
Worcester, MA 01604
(508) 595-2700
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1689043465
71 HEYWOOD RD
Sterling, USA 01564
(617) 600-3195
✔ PECOS✔ Accepts Medicare47 mi
Chiropractic
NPI 1386254829
1920 MINERAL SPRING AVE STE 16AND17
North Providence, RI 02904
(401) 354-5500
✔ Accepts Medicare59 mi
Physical Therapist in Private Practice
NPI 1497531875
540 GALLIVAN BLVD STE 2
Dorchester, MA 02124
(617) 282-8080
✔ Accepts Medicare78 mi
Chiropractic
NPI 1083733539
414 COMMERCIAL ST SUITE 1A
Boston, MA 02109
(617) 742-5797
79 mi
Chiropractic
NPI 1508703174
90 EVERETT AVE
Chelsea, MA 02150
(617) 819-1430
80 mi
See all 27 clinicians

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 Innovative Physician Services LLC's NPI number?

The NPI number for Innovative Physician Services LLC is 1922096049. It was assigned to this organization in the NPPES registry on October 12, 2005.

Where is Innovative Physician Services LLC located?

Innovative Physician Services LLC is located at 490 Page Boulevard, Springfield, MA 01104. The listed phone number is (413) 349-5063.

What is Innovative Physician Services LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Innovative Physician Services LLC enrolled in Medicare?

Yes. Innovative Physician Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Physician Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 8 Medicare specialties reassign their Medicare billing to Innovative Physician Services 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 Chiropractic (8), Physical Therapist in Private Practice (6) and Nurse Practitioner (5). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Innovative Physician Services LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Innovative Physician Services 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 Innovative Physician Services LLC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.