MERRIMACK VALLEY PAIN MANAGEMENT ASSOCIATES, P.C.
NPI 1962652990
Clinic/Center - Pain in Lawrence, MA

NPI Status: Active since September 26, 2008

Contact Information

280 MERRIMACK ST STE 103
LAWRENCE, MA
ZIP 01843
Phone: (978) 685-2455
Fax: (978) 685-2459

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  • Organization
  • Clinic/Center
  • Pain
  • Accepts Insurance
  • CLIA Number: 22D1095959
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-22-2027

About MERRIMACK VALLEY PAIN MANAGEMENT ASSOCIATES, P.C.

This page provides the complete NPI Profile along with additional information for Merrimack Valley Pain Management Associates, P.c., a provider established in Lawrence, Massachusetts operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1962652990 assigned on September 2008. The practitioner's primary taxonomy code is 261QP3300X with license number 213741 (MA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Rami Rustum Md (President)

NPI
1962652990
Provider Name
MERRIMACK VALLEY PAIN MANAGEMENT ASSOCIATES, P.C.
Entity Type
Organization
Location Address
280 MERRIMACK ST STE 103 LAWRENCE, MA 01843
Location Phone
(978) 685-2455
Location Fax
(978) 685-2459
Mailing Address
280 MERRIMACK ST STE 103 LAWRENCE, MA 01843
Mailing Phone
(978) 685-2455
Mailing Fax
(978) 685-2459
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2008
Last Update Date
01-31-2018
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Pain

Taxonomy Code
261QP3300X
Type
Ambulatory Health Care Facilities
License No.
213741
License State
MA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RAMI RUSTUM MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(978) 685-2455

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AA132832OTHER (01)MAHARVARD
AA132832OTHER (01)MAHEALTHCARE VALUE
1881694180OTHER (01)MAFALLON
1881694180OTHER (01)MABMC
AA132832OTHER (01)MAHEALTH PLANS
1962652990OTHER (01)MAGIC UNICARE
9111315OTHER (01)MAAETNA
9744801MEDICAID (05)MA 
M19676OTHER (01)MABC/BS
30217445MEDICAID (05)NH 
614350100OTHER (01)MATUFTS
614350100OTHER (01)MAACS
1962652990OTHER (01)MATRICARE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D1095959
Facility Type
Physician Office
Certificate Effective Date
February 23, 2025
Certificate Expiration Date
February 22, 2027
Laboratory Director
RAMI R. RUSTUM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Merrimack Valley Pain Management Associates, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MERRIMACK VALLEY PAIN MANAGEMENT ASSOCIATES, P.C.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962652990, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 2 + 5 + 4 + 9 + 1 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1962652990.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
280 MERRIMACK ST STE 103
LAWRENCE, MA 01843

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962652990, enumerated as an "organization" on September 26, 2008.

The provider is located at 280 MERRIMACK ST STE 103 LAWRENCE, MA 01843 and the phone number is (978) 685-2455.

Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to verify.