Active NPI
Sameer Syed MD PA
- Pain Medicine (Anesthesiology) Physician
- Rockwall, TX
National Provider Identifier
1083431340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- SAMEER SYED MD PA
- Practice address
- 810 E Ralph Hall Pkwy Ste 110
Rockwall, TX 75032-6879 - Phone
- (214) 817-4425
- Fax
- (972) 674-2788
- NPI assigned
- Sep 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Nicole Meleleu
- Title
- Provider Enrollment
- Phone
- (214) 817-4225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
810 E Ralph Hall Pkwy Ste 110
Rockwall, TX 75032-6879
Mailing address
7668 Eldorado Pkwy Ste 300
McKinney, TX 75070-5753
Phone (214) 817-4425
Other names 1
- Pain Treatment Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241025002239 | TX | DME Supplier - Physician - Interventional Pain Management | 6204198575 | Practice locations: Rockwall, TX |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1083431340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7668 ELDORADO PKWY STE 300",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750705753",
"telephone_number": "214-817-4425",
"fax_number": "972-674-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E RALPH HALL PKWY STE 110",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326879",
"telephone_number": "214-817-4425",
"fax_number": "972-674-2788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMEER SYED MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "MELELEU",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "214-817-4225"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pain Treatment Institute",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.