Individual provider Active NPI

Samir Fahed, M.D.

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1063698645
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
N2492 Issued in TX
Practice address
11226 Southwest Fwy Ste a
Houston, TX 77031-3604
Phone
(832) 486-9346
Fax
(832) 553-7823
NPI assigned
Jan 14, 2008
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 57-011358 OH
Interventional Pain Medicine Physician 208VP0014X N2492 TX Primary

Addresses

Primary practice location

11226 Southwest Fwy Ste a
Houston, TX 77031-3604

Mailing address

11226 Southwest Fwy Ste a
Houston, TX 77031-3604
Phone (832) 486-9346

Other identifiers 2

IdentifierTypeStateIssuer
8GG132OtherTXBLUE CROSS BLUE SHIELD
549033ZN5TOtherTXMEDICARE

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
I20161119000234 TX Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4082765078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Pain and Regenerative Medicine PLLCGroup PAC ID 9739449554, 2 clinicians

Practice addresses (Care Compare)

11226 Southwest Fwy
Suite a
Houston, TX 77031-3604
Phone (832) 993-7072

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57-011358OHMDAnesthesiology Physician
N2492TXMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Clinician, Multispecialty Clinical Consultant Services, PLLC Current Accepting new patients
Texas Pain and Regenerative Medicine PLLC Interventional Pain Medicine CurrentSince Dec 4, 2017 Accepting new patients
Anesthesia Associates of Central Kansas, P.a. Anesthesiology PastSince Jan 1, 1997 Accepting new patients
Insight MRI & Diagnostics, LLC Past Accepting new patients

Locations

11226 Southwest Fwy
Ste A
Houston, TX 77031
Phone (832) 486-9346

10907 Memorial Hermann Dr
Ste 400
Pearland, TX 77584
Phone (281) 741-0280

6711 Stella Link Rd
West University Place, TX 77005
Phone (713) 505-0424

Interoperability endpoints

  • Direct secure messaging: samir.fahed@3188.securemail.prognocis.com

Organizations & group practices 4

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1063698645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11226 SOUTHWEST FWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313604",
            "telephone_number": "832-486-9346",
            "fax_number": "832-553-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11226 SOUTHWEST FWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313604",
            "telephone_number": "832-486-9346",
            "fax_number": "832-553-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHED",
        "first_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "57-011358",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "N2492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8GG132",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "549033ZN5T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.