Organization Active NPI

Interventional Pain & Aesthetics

  • Anesthesiology Physician
  • Sunnyvale, TX
National Provider Identifier
1154657179
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
INTERVENTIONAL PAIN & AESTHETICS
Practice address
118 N Jobson Rd
Sunnyvale, TX 75182-5001
Phone
(214) 455-9029
NPI assigned
Oct 27, 2009
Last updated
Nov 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Dr. Nancy Rajagiriyil, D.O.NPI 1114138377
Title
Ceo
Phone
(214) 455-9029

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
Pain Clinic/Center 261QP3300X N1089 TX
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

118 N Jobson Rd
Sunnyvale, TX 75182-5001

Mailing address

118 N Jobson Rd
Sunnyvale, TX 75182-5001
Phone (214) 455-9029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100203000303 TX Part B Supplier - Clinic/Group Practice 7315080090 Receives reassigned benefits from 2 practitioners
Practice locations: Plano, TX; Mesquite, TX; Dallas, TX; Corinth, TX

National Provider Directory

National Provider Directory

Locations

12200 Park Central Dr
Ste 240
Dallas, TX 75251
Phone (469) 284-8990

12230 Coit Rd
Ste 200
Dallas, TX 75251
Phone (469) 374-6400

316 S Goliad St
Ste 201
Rockwall, TX 75087
Phone (214) 455-9029

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1154657179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N JOBSON RD",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751825001",
            "telephone_number": "214-455-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N JOBSON RD",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751825001",
            "telephone_number": "214-455-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN & AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "RAJAGIRIYIL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-455-9029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TX",
            "license": "N1089",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.