NPIMap

Individual provider Active NPI

Shervin Harandi

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1063771509
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
R1959 Issued in TX
Practice address
902 Frostwood Dr
Ste 235
Houston, TX 77024-2417
Phone
(713) 298-1020
NPI assigned
May 3, 2012
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R1959 TX
Pain Medicine Physician 208VP0000X R1959 TX
Interventional Pain Medicine Physician 208VP0014X R1959 TX Primary

Addresses

Primary practice location

902 Frostwood Dr
Ste 235
Houston, TX 77024-2417

Mailing address

902 Frostwood Dr
Ste 235
Houston, TX 77024-2417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170619000532 TX Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 7618263245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modern Pain Management, PLLCGroup PAC ID 7719288893, 3 clinicians

Practice addresses (Care Compare)

902 Frostwood Dr
Suite 235
Houston, TX 77024-2417
Phone (713) 298-0120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Acute Pain & Anesthesia Services PLLC Anesthesiology CurrentSince Jun 1, 2019 Accepting new patients
Modern Pain Management PLLC Pain Medicine CurrentSince Jul 1, 2017 Accepting new patients
Modern Pain Management PLLC Pain Medicine CurrentSince Jul 1, 2017 Accepting new patients

Locations

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGEBDA/Endpoint/FGEBDA

Organizations & group practices 3

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1063771509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "STE 235",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "STE 235",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242417",
            "telephone_number": "713-298-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARANDI",
        "first_name": "SHERVIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R1959",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "R1959",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "R1959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.