Active NPI
Novus Pain Management - Texas PLLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Dallas, TX
National Provider Identifier
1124966775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- NOVUS PAIN MANAGEMENT - TEXAS PLLC
- Practice address
- 4200 Live Oak St
Dallas, TX 75204-6733 - Phone
- (301) 722-0484
- Fax
- (833) 903-0130
- NPI assigned
- Mar 24, 2026
- 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
- Heather Robosson
- Title
- Practice Manager
- Phone
- (240) 727-3995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
4200 Live Oak St
Dallas, TX 75204-6733
Mailing address
157 Baltimore St Ste 512
Cumberland, MD 21502-2472
Phone (301) 722-0484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
157 Baltimore St
Ste 512
Cumberland, MD 21502
Practitioners & affiliated clinicians
Practitioners 1
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": "1774310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1124966775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 BALTIMORE ST STE 512",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022472",
"telephone_number": "301-722-0484",
"fax_number": "833-903-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 LIVE OAK ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046733",
"telephone_number": "301-722-0484",
"fax_number": "833-903-0130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVUS PAIN MANAGEMENT - TEXAS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "ROBOSSON",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "240-727-3995"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.