Organization Active NPI

Advantage Pain Management PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
National Provider Identifier
1114291283
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
N1480 Issued in TX
Legal business name
ADVANTAGE PAIN MANAGEMENT PLLC
Practice address
4243 E Southcross Blvd Ste 201
San Antonio, TX 78222-3736
Phone
(210) 359-6000
Fax
(210) 359-6073
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Dr. Sarah Elizabeth Trampota, M.D.NPI 1043491970
Title
Owner
Phone
(210) 359-6000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X N1480 TX
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X N1480 TX Primary

Addresses

Primary practice location

4243 E Southcross Blvd Ste 201
San Antonio, TX 78222-3736

Mailing address

4243 E Southcross Blvd Ste 201
San Antonio, TX 78222-3736
Phone (210) 359-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120427000683 TX Part B Supplier - Clinic/Group Practice 5395907869 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX
O20180724001259 TX DME Supplier - Physician - Anesthesiology 5395907869 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

4242 E Southcross Blvd
Ste 201
San Antonio, TX 78222
Phone (210) 359-6000

4243 E Southcross Blvd
Ste 201
San Antonio, TX 78222
Phone (210) 359-6000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1114291283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 E SOUTHCROSS BLVD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223736",
            "telephone_number": "210-359-6000",
            "fax_number": "210-359-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 E SOUTHCROSS BLVD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223736",
            "telephone_number": "210-359-6000",
            "fax_number": "210-359-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "TRAMPOTA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-359-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N1480",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "N1480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.