Anisa Faruk Gopalani, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

00000 Issued in TX

Practice address

133 Medical Park LN Ste B
Huntsville, TX 77340-4979

Phone

(936) 730-8833

Fax

(936) 730-8866

NPI assigned

Aug 12, 2006

Last updated

Dec 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

University of Texas Medical Branch at Galveston, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen M Sims MD PAGroup PAC ID 3476655499, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspire Hospital Hospital, Conroe, TX, CCN 670093
• Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

Merit-based Incentive Payment System (MIPS)

Final score

92.29 of 100Reported as group

Quality

81.37

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephen M. Sims, MD, PA

  dba North Lakes Pain Consultants

  • Pain Medicine Physician
  • Huntsville, TX
  • NPI 1235148172
  Medicare reassignment Care Compare group NPD
• Waveform Neuromonitoring, LLC

  • Neurology Physician
  • Conroe, TX
  • NPI 1215493366
  Authorized official Same address or phone
• Stephen M. Sims, MD, PA

  dba North Lakes Pain Consultants

  • Interventional Pain Medicine Physician
  • Shenandoah, TX
  • NPI 1154976025
  NPD
• North Pines Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Conroe, TX
  • NPI 1013392042
  NPD (past)

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

• Aspire Hospital, LLC

  • Psychiatric Hospital
  • Conroe, TX
  • NPI 1093955296
  Care Compare affiliation
• Aspire Hospital, LLC

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1114340080
  Care Compare affiliation
• Methodist Health Centers

  dba Houston Methodist The Woodlands Hospital

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184179194
  Care Compare affiliation

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1174535033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621004",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752621004",
            "telephone_number": "936-756-3464",
            "fax_number": "936-703-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MEDICAL PARK LN STE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404979",
            "telephone_number": "936-730-8833",
            "fax_number": "936-730-8866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17189 I 45 S Ste 265",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773853323",
            "country_code": "US",
            "telephone_number": "936-647-1469",
            "fax_number": "936-242-1274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 Riverwood Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042974",
            "country_code": "US",
            "telephone_number": "936-756-3444",
            "fax_number": "936-756-3452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPALANI",
        "first_name": "ANISA",
        "middle_name": "FARUK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185507401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Elizabeth Goebel, M.S.
• Amanda Rene Golden, FNP
• Cory Joplin Gonzales, SLP
• Janet Gonzalez, PHARMD
• Katharyn Goosmann, CCC-SLP
• Katherine Stella Gordon Campos
• Greater Horizons 1 Texas LP (The Lexington Center)
• Jamie Nicole Green, APRN, FNP-C
• Najla Rashidah Green, NP
• Christopher David Greenleaf, PH.D., LAT,ATC, CSCS

• Pain Medicine Physician in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.