Active NPI
Modern Pain Management PLLC
- Pain Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- P1162
- Legal business name
- MODERN PAIN MANAGEMENT PLLC
- Practice address
- 902 Frostwood
Suite 235
Houston, TX 77024 - Phone
- (713) 298-0120
- Fax
- (713) 513-5303
- NPI assigned
- May 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Atallah, DO
- Title
- Owner
- Phone
- (713) 298-0120
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Pain Medicine Physician | 208VP0000X | P1162 | TX | Primary |
Addresses
Primary practice location
902 Frostwood
Suite 235
Houston, TX 77024
Mailing address
902 Frostwood
Suite 235
Houston, TX 77024
Phone (713) 298-0120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2106747 | Modern Pain Management PLLC | Certificate of waiver | Dec 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
902 Frostwood Dr
Ste 235
Houston, TX 77024
Phone (713) 298-0120
12930 Dairy Ashford Rd
Ste 501
Sugar Land, TX 77478
Phone (713) 298-0120
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Pain Medicine Physician
- Sugar Land, TX
- NPI 1952993560
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Houston, TX
- NPI 1093940694
-
- Interventional Pain Medicine Physician
- Houston, TX
- NPI 1063771509
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Bellaire, TX
- NPI 1487097523
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Sugar Land, TX
- NPI 1538328943
-
- Pain Medicine (Anesthesiology) Physician
- Dallas, TX
- NPI 1124513700
-
- Pain Medicine (Anesthesiology) Physician
- Baytown, TX
- NPI 1346622768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446422400000",
"number": "1013394766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 FROSTWOOD",
"address_2": "SUITE 235",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77024",
"telephone_number": "713-298-0120",
"fax_number": "713-513-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 FROSTWOOD",
"address_2": "SUITE 235",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77024",
"telephone_number": "713-298-0120",
"fax_number": "713-513-5303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN PAIN MANAGEMENT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-01",
"last_updated": "2015-11-02",
"status": "A",
"authorized_official_last_name": "ATALLAH",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-298-0120",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "P1162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.