NPIMap

Organization Active NPI

Kikkeri International, PA

Doing business as Advanced Pain Solutions

  • Pain Medicine (Anesthesiology) Physician
  • Mesquite, TX
National Provider Identifier
1104937218
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
K9584 Issued in TX
Legal business name
KIKKERI INTERNATIONAL, PA
Doing business as
Advanced Pain Solutions
Practice address
3865 Childress Ave Ste a
Mesquite, TX 75150
Phone
(972) 681-7246
Fax
(972) 681-1079
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. Nagaraj Kikkeri, MDNPI 1396745311
Title
Owner
Phone
(972) 681-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X K9584 TX Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X M4398 TX
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X K4140 TX

Addresses

Primary practice location

3865 Childress Ave Ste a
Mesquite, TX 75150

Mailing address

PO Box 870638
Mesquite, TX 75187-0638
Phone (972) 681-7246

Other practice location 1

9359 Legacy Dr
Frisco, TX 75033-6712
Phone (972) 681-7246

Other practice location 2

3931 Joe Ramsey Blvd E
Greenville, TX 75401-7728
Phone (972) 681-7246

Other names 1

  • ADVANCED PAIN SOLUTIONS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051110000987 TX Part B Supplier - Clinic/Group Practice 1254359938 Receives reassigned benefits from 19 practitioners
Practice locations: Greenville, TX; Mesquite, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2011128Kikkeri International, Inc3865 Childress Ave, Mesquite, TX 75150Certificate of waiverAug 10, 2026

National Provider Directory

National Provider Directory

Locations

9359 Legacy Dr
Ste 300
Frisco, TX 75033
Phone (214) 684-2076

9359 Legacy Dr
Frisco, TX 75033

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDGDAA

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1104937218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870638",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751870638",
            "telephone_number": "972-681-7246",
            "fax_number": "972-681-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 CHILDRESS AVE STE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-681-7246",
            "fax_number": "972-681-1079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9359 Legacy Dr",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750336712",
            "country_code": "US",
            "telephone_number": "972-681-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3931 Joe Ramsey Blvd E",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017728",
            "country_code": "US",
            "telephone_number": "972-681-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIKKERI INTERNATIONAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "KIKKERI",
        "authorized_official_first_name": "NAGARAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-681-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "K9584",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4398",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K4140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED PAIN SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVANCED PAIN SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.