COASTAL VIRGINIA SPINE AND PAIN CENTER LLC – Interventional Pain Medicine Physician, NPI 1114496734
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for COASTAL VIRGINIA SPINE AND PAIN CENTER LLC
Edwin Drive, Virginia Beach, Virginia, 23464, United States
VIRGINIA BEACH, VA 234624522
Phone: (757) 422-2966
Type: Mailing
PO BOX 2546
VIRGINIA BEACH, VA 234502546
Phone: (757) 340-3489
Fax: (757) 340-4278
Type: Mailing
4525 SOUTH BLVD STE 200
VIRGINIA BEACH, VA 234521147
Phone: (757) 227-3820
Fax: (757) 226-9021
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: 2019-01-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (772 days ago).
Enrollment records
1
Earliest due date
2024-04-30
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 |
|---|---|---|---|---|
| O20190125001658 | O | Clinic/Group Practice | VA | 2024-04-30 |
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.
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 23462)
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