WORCESTER PAIN MANAGEMENT PLLC – Interventional Pain Medicine Physician, NPI 1336631456

WORCESTER PAIN MANAGEMENT PLLC is a healthcare provider. based in Worcester, Massachusetts. specializing in Interventional Pain Medicine Physician. The NPI Number for WORCESTER PAIN MANAGEMENT PLLC is 1336631456

Main info

Organization
Name
WORCESTER PAIN MANAGEMENT PLLC
NPI
1336631456
Phone
(508) 904-9026
Address
116 BELMONT ST RM 34
Authorized Official
DEMIAN G MOUSAD OWNER MD
Enumeration Date
4 June 2018
Last Update Date
28 June 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:8State licenses:0Digital endpointsOther names

Provider Addresses for WORCESTER PAIN MANAGEMENT PLLC

  • 116 BELMONT ST RM 34

    WORCESTER, MA 01605

    Phone: (508) 904-9026

    Type: Location

  • 1, Carlisle Terrace, Natick, Middlesex County, Massachusetts, 01760, United States

    NATICK, MA 017602060

    Phone: (508) 904-9026

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-07-31 (681 days ago).

Enrollment records

1

Earliest due date

2024-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20180719000231OClinic/Group PracticeMA2024-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01605)

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Reviews

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Frequently asked questions

How do I look up WORCESTER PAIN MANAGEMENT PLLC by NPI?
Use NPI 1336631456 when you need to reference WORCESTER PAIN MANAGEMENT PLLC in forms, claims, or directories.
Does this profile mean WORCESTER PAIN MANAGEMENT PLLC is currently active?
Yes — WORCESTER PAIN MANAGEMENT PLLC appears active in the national provider directory.
What does WORCESTER PAIN MANAGEMENT PLLC treat or focus on?
Patients typically see WORCESTER PAIN MANAGEMENT PLLC under the specialty Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place WORCESTER PAIN MANAGEMENT PLLC?
The snapshot lists Worcester, Massachusetts for WORCESTER PAIN MANAGEMENT PLLC; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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