1ST MEDICAL PAIN MANAGEMENT SPECIALISTS — NPI 1902348659 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in EDGEWATER, MD)

CMS-1500 Box 24J / 33a • NPI

1902348659

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261Q00000X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

20 MAYO RD STE 201, EDGEWATER, MD, 21037-1442

✓ 9-Digit EDI 837 ZIP+4 (21037-1442)

Practice Phone & Referral Fax

(410) 956-6800

Fax: (410) 956-6803

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902348659 (1ST MEDICAL PAIN MANAGEMENT SPECIALISTS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1902348659` (NPI-2 Organization / Facility)
Provider / Legal Name	1ST MEDICAL PAIN MANAGEMENT SPECIALISTS
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261Q00000X` (Clinic/Center)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	20 MAYO RD STE 201, EDGEWATER, MD, 21037-1442
Practice Telephone / Fax	Tel: (410) 956-6800 \| Fax: (410) 956-6803
Administrative Mailing Address	20 MAYO RD, EDGEWATER, MD, 21037-1439
Enumeration & Last Sync	Enumerated: 2016-11-11 \| CMS Record Updated: 2022-01-23
Authorized Official	ROSEMARY INGADO (Clinical Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

20 MAYO RD STE 201, EDGEWATER, MD, 21037-1442

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Plain-English Taxonomy & CMS Crosswalk (261Q00000X)

What Does Taxonomy Code 261Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261Q00000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (1ST MEDICAL PAIN MANAGEMENT SPECIALISTS)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QP3300X` — Clinic/Center, Pain Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QR0400X` — Clinic/Center, Rehabilitation Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QR0401X` — Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QR0405X` — Clinic/Center, Rehabilitation, Substance Use Disorder Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`101YA0400X` — Counselor, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)	State: N/A \| License: `Verified` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: N/A \| License: `Verified` \| Primary: Secondary
`171W00000X` — Contractor Plain English: Licensed & Credentialed Contractor	State: MD \| License: `D40904` \| Primary: Secondary
`174400000X` — Specialist Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0850X` — Clinic/Center, Adult Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261Q00000X` — Clinic/Center Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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1ST MEDICAL PAIN MANAGEMENT SPECIALISTS (NPI #1902348659)