Organization Active NPI

Gupta Headache & Pain Institute, P.a.

Doing business as Headache & Pain Center

  • Pain Medicine (Psychiatry & Neurology) Physician
  • West Lake Hills, TX
National Provider Identifier
1013014224
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
K0794 Issued in TX
Legal business name
GUPTA HEADACHE & PAIN INSTITUTE, P.A.
Doing business as
Headache & Pain Center
Practice address
4407 Bee Cave Rd
Suite 211
West Lake Hills, TX 78746-6405
Phone
(512) 330-0961
Fax
(512) 330-0962
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rajat Gupta, M.D.NPI 1225031552
Title
President
Phone
(512) 330-0961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P2900X K0794 TX Primary

Addresses

Primary practice location

4407 Bee Cave Rd
Suite 211
West Lake Hills, TX 78746-6405

Mailing address

4407 Bee Cave Rd
Suite 211
West Lake Hills, TX 78746-6405
Phone (512) 330-0961

Other names 1

  • Headache & Pain Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060921000340 TX Part B Supplier - Clinic/Group Practice 9739184920 Receives reassigned benefits from 1 practitioner
Practice locations: West Lake Hills, TX

National Provider Directory

National Provider Directory

Locations

2300 Lohmans Spur Rd
Lakeway, TX 78734
Phone (512) 330-0961

4407 Bee Caves Rd
Ste 211
West Lake Hills, TX 78746
Phone (512) 330-0961

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1013014224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVE RD",
            "address_2": "SUITE 211",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466405",
            "telephone_number": "512-330-0961",
            "fax_number": "512-330-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVE RD",
            "address_2": "SUITE 211",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466405",
            "telephone_number": "512-330-0961",
            "fax_number": "512-330-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUPTA HEADACHE & PAIN INSTITUTE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAJAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-330-0961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "TX",
            "license": "K0794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Headache & Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.