Individual provider Active NPI

Pankaj Mehta, MD

  • Interventional Pain Medicine Physician
  • Killeen, TX
National Provider Identifier
1073787909
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
P4678 Issued in TX
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

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P4678OtherTXTEXAS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130611000302 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 1759539125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Pain Institute PLLCGroup PAC ID 6103802384, 6 clinicians

Practice addresses (Care Compare)

4100 Duval Rd
BLDG III
Austin, TX 78759-4275
Phone (855) 876-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion60
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P4678TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Pain Center, PLLC CurrentSince Feb 12, 2013 Accepting new patients
Central Texas Pain Institute PLLC Interventional Pain Medicine CurrentSince Feb 12, 2013 Accepting new patients
Daniel a. Frederick, M.D., P.a. Pain Medicine Past Accepting new patients
Central Texas Pain Center, PLLC PastSince Jan 19, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.