KRISTOFFER RYAN A. DE LARA MD – NPI #1104109305
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

KRISTOFFER RYAN DE LARA is a physician located in GERMANTOWN, MD. NPPES has assigned the NPI number 1104109305 to KRISTOFFER RYAN DE LARA on September 23, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name KRISTOFFER RYAN ALPAS DE LARA. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 9 years ago on Feb 21, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KRISTOFFER RYAN DE LARA below.

NPI Profile for
KRISTOFFER RYAN A. DE LARA

NPI Number
1104109305
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KRISTOFFER RYAN A. DE LARA
Other Name: KRISTOFFER RYAN ALPAS DE LARA
Credentials
MD
Primary location
19735 GERMANTOWN RD
SUITE 360
GERMANTOWN, MD 20874-1214
Phone: (301) 528-2810 Fax: (301) 528-2811
Mailing address
11350 MCCORMICK RD
EXECUTIVE PLAZA 1, SUITE 501
HUNT VALLEY, MD 21031-1002
Phone: (301) 528-2810 Fax: (301) 528-2811
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)		 MD D0074724

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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