Individual provider Active NPI

Nathan A. Pailes, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1164401642
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L9839 Issued in TX
Practice address
14850 Quorum Dr Ste 440
Dallas, TX 75254-7001
Phone
(469) 437-3564
Fax
(469) 519-1400
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L9839 TX Primary

Addresses

Primary practice location

14850 Quorum Dr Ste 440
Dallas, TX 75254-7001

Mailing address

14850 Quorum Dr Ste 440
Dallas, TX 75254-7001
Phone (694) 853-7392

Other identifiers 3

IdentifierTypeStateIssuer
167974803MedicaidTX
167974802MedicaidTX
167974801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041013000195 TX Practitioner - Anesthesiology 5597734749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Oklahoma College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valiant Anesthesia Associates, PLLCGroup PAC ID 5092956243, 60 clinicians

Practice addresses (Care Compare)

14850 Quorum Dr
Suite 400
Dallas, TX 75254-1445
Phone (469) 437-3564

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9839TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valiant Anesthesia Associates, PLLC Anesthesiology CurrentSince Apr 1, 2013 Accepting new patients
Excel Anesthesia, PA Anesthesiology Past Accepting new patients

Locations

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

14850 Quorum Dr
Ste 440
Dallas, TX 75254
Phone (833) 749-8324

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

801 E Plano Pkwy
Ste 100
Plano, TX 75074
Phone (972) 841-5820

Interoperability endpoints

  • Direct secure messaging: npailes@direct.uspi.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1164401642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14850 QUORUM DR STE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547001",
            "telephone_number": "694-853-7392",
            "fax_number": "469-519-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14850 QUORUM DR STE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547001",
            "telephone_number": "469-437-3564",
            "fax_number": "469-519-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAILES",
        "first_name": "NATHAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L9839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167974803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167974802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167974801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.