Image Restoration P a

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

H2154 Issued in TX

Legal business name

IMAGE RESTORATION P A

Doing business as

Mounir Mekhail, MD PA

Practice address

4112 Ryan LN
Richardson, TX 75082-3752

Phone

(214) 499-1535

Fax

(972) 957-2640

NPI assigned

Jun 29, 2012

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Louise Mekhail

Title

Office Manager

Phone

(214) 499-1535

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mounir Mekhail, MD PA Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mounir Mekhail, MD

  • Pain Medicine (Anesthesiology) Physician
  • Richardson, TX
  • NPI 1235220468
  Medicare reassignment NPD
• Teia C Bailey, NP

  • Family Nurse Practitioner
  • Mesquite, TX
  • NPI 1306517941
  NPD

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1083978514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 RYAN LN",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823752",
            "telephone_number": "214-499-1535",
            "fax_number": "972-957-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 RYAN LN",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823752",
            "telephone_number": "214-499-1535",
            "fax_number": "972-957-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE RESTORATION P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "MEKHAIL",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-499-1535"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "H2154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0025HS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mounir Mekhail, MD PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mounir Mekhail, MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pain Medicine (Anesthesiology) Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.

Verify at the official NPI Registry.