Individual provider Active NPI

Steven C Pulley, M.D.

  • Interventional Pain Medicine Physician
  • Pearland, TX
National Provider Identifier
1104037878
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
7514078-1205 Issued in UT
Practice address
2512 Sunburst LN
Pearland, TX 77584-2993
Phone
(319) 541-5112
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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 R7512 IA
Pain Medicine (Anesthesiology) Physician 207LP2900X BP10033560 TX
Interventional Pain Medicine Physician 208VP0014X 7514078-1205 UT Primary

Addresses

Primary practice location

2512 Sunburst LN
Pearland, TX 77584-2993

Mailing address

2512 Sunburst LN
Pearland, TX 77584-2993
Phone (319) 541-5112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20100701000636 UT Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4587795737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omega Interventional Pain PLLCGroup PAC ID 1254512775, 4 clinicians

Practice addresses (Care Compare)

3838 S 700
Suite 300
Salt Lake City, UT 84106-1496
Phone (801) 261-4988

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7512IAMDAnesthesiology Physician
BP10033560TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omega Interventional Pain PLLC Pain Medicine CurrentSince Jan 3, 2011 Accepting new patients
Lifetree Medical Inc Anesthesiology Past Accepting new patients

Locations

3838 S 700 E
#300A
Salt Lake City, UT 84106

3838 S 700 E
#200
Salt Lake Cty, UT 84106
Phone (801) 261-4988

3838 S 700 E
Ste 300
South Salt Lake, UT 84106
Phone (801) 261-4988

3838 S 700 E
Ste 300A
South Salt Lake, UT 84106
Phone (801) 261-4988

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1104037878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 SUNBURST LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842993",
            "telephone_number": "319-541-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 SUNBURST LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842993",
            "telephone_number": "319-541-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEY",
        "first_name": "STEVEN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "R7512",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "BP10033560",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "UT",
            "license": "7514078-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.