Active NPI
Pankaj Mehta, MD
- Interventional Pain Medicine Physician
- Killeen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- P4678
- Practice address
- 3310 E Central Texas Expy
BLDG B, Ste 201
Killeen, TX 76543 - Phone
- (855) 876-7246
- Fax
- (855) 277-5070
- NPI assigned
- Apr 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | P4678 | TX | |
| Interventional Pain Medicine Physician | 208VP0014X | P4678 | TX | Primary |
Addresses
Primary practice location
3310 E Central Texas Expy
BLDG B, Ste 201
Killeen, TX 76543
Mailing address
PO Box 208361
Dallas, TX 75320-8361
Phone (855) 876-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P4678 | Other | TX | TEXAS MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 Duval Rd
BLDG III
Austin, TX 78759-4275
Phone (855) 876-7246
Hospital & facility affiliations
- Adventhealth Central Texas
- Seton Medical Center Harker Heights
- Baylor Scott & White Medical Center - Temple
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 60 |
| Laminectomy or laminotomy (partial removal of spine bones) | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P4678 | TX | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Pain Center, PLLC | Current | Accepting new patients | |
| Central Texas Pain Institute PLLC | Interventional Pain Medicine | Current | Accepting new patients |
| Daniel a. Frederick, M.D., P.a. | Pain Medicine | Past | Accepting new patients |
| Central Texas Pain Center, PLLC | Past | Accepting new patients | |
| Psa Ambulatory Surgical Center of South Austin, LLC | Past | Accepting new patients | |
| Springfield Anesthesia Service, Inc. | Past | Accepting new patients | |
| Umass Memorial Medical Group Inc | Past | Accepting new patients | |
| Psa Ambulatory Surgical Center of Austin LLC | Past | Accepting new patients |
Locations
4100 Duval Rd
Bldg 3
Austin, TX 78759
Phone (512) 550-8828
4316 James Casey St
Ste B-200
Austin, TX 78745
701 E FM 1626
Ste 301
Austin, TX 78748
701 E FM 1626
Ste 300
Austin, TX 78748
4100 Duval Rd
Bldg Iii
Austin, TX 78759
4316 James Casey St
Bldg B
Austin, TX 78745
Phone (512) 442-2727
3101 Highway 71 E
Ste 211
Bastrop, TX 78602
Phone (512) 321-0000
1401 Medical Pkwy
Ste C345
Cedar Park, TX 78613
Phone (512) 953-8137
1401 Medical Pkwy
Bldg 2
Cedar Park, TX 78613
1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251
3201 S Austin Ave
Ste 265
Georgetown, TX 78626
Phone (512) 717-5077
3310 E Central Texas Expy
Killeen, TX 76543
3310 E Central Texas Expy
Ste 201
Killeen, TX 76543
Phone (558) 767-2468
3202 S W S Young Dr
Killeen, TX 76542
213 Hunters Vlg
New Braunfels, TX 78132
Phone (830) 627-3800
305 Clinite Grove Blvd
Temple, TX 76502
Interoperability endpoints
- pankaj.mehta@psoa.eclinicaldirectplus.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Killeen, TX
- NPI 1316956832
-
- Durable Medical Equipment & Medical Supplies
- Bastrop, TX
- NPI 1902271935
-
- Durable Medical Equipment & Medical Supplies
- Seguin, TX
- NPI 1992683114
-
- Pain Medicine (Anesthesiology) Physician
- San Marcos, TX
- NPI 1841578796
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1659594190
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1770223901
-
- Anesthesiology Physician
- Springfield, MA
- NPI 1093768830
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harker Heights, TX
- NPI 1841562709
-
- General Acute Care Hospital
- Killeen, TX
- NPI 1629089966
-
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1073787909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208361",
"city": "DALLAS",
"state": "TX",
"postal_code": "753208361",
"telephone_number": "855-876-7246",
"fax_number": "855-277-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 E CENTRAL TEXAS EXPY",
"address_2": "BLDG B, STE 201",
"city": "KILLEEN",
"state": "TX",
"postal_code": "76543",
"telephone_number": "855-876-7246",
"fax_number": "855-277-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "PANKAJ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-22",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "P4678",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "P4678",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LICENSE",
"identifier": "P4678",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.