SpIntervention, Corp – Pain Medicine (Anesthesiology) Physician, NPI 1104592898
Pain Medicine (Anesthesiology) Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SpIntervention, Corp
8301 Arlington Blvd Ste 100
Fairfax, VA 220312902
Phone: (301) 830-8040
Fax: (833) 518-1993
Type: Location
3500 Wisconsin Ave NW
Washington, DC 200163011
Phone: (301) 830-8040
Fax: (833) 991-3561
Type: Location
8305 Wisconsin Ave
Bethesda, MD 208143103
Phone: (301) 840-8040
Fax: (833) 794-1829
Type: Location
1953 Gallows Rd Ste 100
Vienna, VA 221823934
Phone: (301) 830-8040
Fax: (833) 521-2210
Type: Location
7740 Gunston Plz
Lorton, VA 220791897
Phone: (301) 830-8040
Fax: (833) 694-1804
Type: Location
8455 Colesville Rd
Silver Spring, MD 209103315
Phone: (301) 830-8040
Fax: (833) 955-3652
Type: Location
3117 Duke St
Alexandria, VA 223144518
Phone: (301) 830-8040
Fax: (833) 630-0526
Type: Location
6020 Richmond Hwy Ste 102
Alexandria, VA 223032157
Phone: (301) 830-8040
Fax: (833) 563-1721
Type: Location
6106 HARVARD AVE UNIT 365
GLEN ECHO, MD 208127508
Phone: (301) 830-8040
Type: Mailing
7307 MACARTHUR BLVD # 200
BETHESDA, MD 208161014
Phone: (301) 830-8040
Fax: (833) 707-1950
Type: Location
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: 2022-03-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20220301000025 | O | Clinic/Group Practice | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 22031)
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