NPIMap

Organization Active NPI

Integris Neuro Group LLC

  • Neurology Physician
  • Highland Village, TX
National Provider Identifier
1184247371
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
INTEGRIS NEURO GROUP LLC
Practice address
2012 Justin Rd Ste 200-a
Highland Village, TX 75077-7193
Phone
(972) 998-1548
Fax
(877) 492-1768
NPI assigned
May 21, 2020
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Steven EstesNPI 1508885484
Title
President/Ceo
Phone
(972) 998-1548

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

2012 Justin Rd Ste 200-a
Highland Village, TX 75077-7193

Mailing address

2012 Justin Rd Ste 200-a
Highland Village, TX 75077-7193
Phone (972) 998-1548

Other practice location 1

506 Sage Ct
Highland Village, TX 75077-3183
Phone (972) 998-1548

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200909000834 TX Part B Supplier - Clinic/Group Practice 8921426800 Receives reassigned benefits from 4 practitioners
Practice locations: Highland Village, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Integris Neuro Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1184247371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 JUSTIN RD STE 200-A",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777193",
            "telephone_number": "972-998-1548",
            "fax_number": "877-492-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 JUSTIN RD STE 200-A",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777193",
            "telephone_number": "972-998-1548",
            "fax_number": "877-492-1768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Sage Ct",
            "address_purpose": "LOCATION",
            "city": "Highland Village",
            "state": "TX",
            "postal_code": "750773183",
            "country_code": "US",
            "telephone_number": "972-998-1548",
            "fax_number": "877-492-1768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRIS NEURO GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "972-998-1548"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.