{"npi":"1619686540","type":"NPI-2","status":"active","name":{"display":"Greater Washington Pain Management LLC","other":[],"organization_name":"GREATER WASHINGTON PAIN MANAGEMENT LLC","authorised_official":"Luis Telles-Hernandez"},"specialty":{"primary_taxonomy":"208VP0014X","primary_taxonomy_description":"Pain Medicine","slug":"pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"208VP0014X","description":"Pain Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"9111 EDMONSTON RD STE 206","city":"GREENBELT","state":"MD","postal_code":"207701546","country_code":"US","phone":"3016642657","fax":"3016642746"},{"purpose":"MAILING","street_1":"9111 EDMONSTON RD STE 206","city":"GREENBELT","state":"MD","postal_code":"207701546","country_code":"US","phone":"3016642657","fax":"3016642746"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230302001343","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"DC","pac_id":"6709259336"},{"enrlmt_id":"O20230413000020","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MD","pac_id":"6709259336"}]},"enumeration_date":"2022-11-18","last_updated":"2025-11-19","_meta":{"source":"NPPES","snapshot_date":"2025-11-19","doc_url":"https://findmynpi.com/api"}}