Individual provider Active NPI

Rehan Memon, MD

  • Pain Medicine (Anesthesiology) Physician
  • Dickinson, TX
National Provider Identifier
1053433938
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
P6037 Issued in TX
Practice address
3750 Medical Park Drive
Suite 200
Dickinson, TX 77539
Phone
(281) 534-1133
Fax
(281) 534-2190
NPI assigned
Apr 4, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X P6037 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X P6037 TX Primary

Addresses

Primary practice location

3750 Medical Park Drive
Suite 200
Dickinson, TX 77539

Mailing address

3750 Medical Park Drive
Suite 200
Dickinson, TX 77539
Phone (281) 534-1133

Other identifiers 2

IdentifierTypeStateIssuer
8EB512OtherTXBLUE CROSS/ BLUE SHIELD
50198989OtherTXDPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140215000079 TX Practitioner - AnesthesiologyPractitioner - Pain Management 0749348928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mandm Clinical GroupGroup PAC ID 4587986468, 4 clinicians

Practice addresses (Care Compare)

4102 Woodlawn Ave
Suite 230
Pasadena, TX 77504-1949
Phone (713) 369-1969

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Clinical Group Addiction Medicine CurrentSince Oct 20, 2014 Accepting new patients
Pain Care, PLLC Pain Medicine Past Accepting new patients

Locations

5350 Bellaire Blvd
Unit 355
Bellaire, TX 77402

4102 Woodlawn Ave
Ste 230
Pasadena, TX 77504

Interoperability endpoints

  • Direct secure messaging: rehan.memon.1@13131.direct.athenahealth.com
  • Direct secure messaging: rehanmemonmd.rehanmemon@131782.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053433938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 MEDICAL PARK DRIVE",
            "address_2": "SUITE 200",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "77539",
            "telephone_number": "281-534-1133",
            "fax_number": "281-534-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 MEDICAL PARK DRIVE",
            "address_2": "SUITE 200",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "77539",
            "telephone_number": "281-534-1133",
            "fax_number": "281-534-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMON",
        "first_name": "REHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "TX",
            "license": "P6037",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "P6037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "8EB512",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "50198989",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

Verify at the official NPI Registry.