NPIMap

Organization Active NPI

Dallas Pain Institute

Doing business as Texoma Anesthesia

  • Interventional Pain Medicine Physician
  • Rowlett, TX
National Provider Identifier
1194308601
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
DALLAS PAIN INSTITUTE
Doing business as
Texoma Anesthesia
Practice address
7700 Lakeview Pkwy # 100B
Rowlett, TX 75088-4362
Phone
(469) 653-0222
Fax
(903) 892-6999
NPI assigned
May 3, 2021
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Dr. Sreenadha Vattam, MDNPI 1427082171
Title
Owner
Phone
(469) 426-2500

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

7700 Lakeview Pkwy # 100B
Rowlett, TX 75088-4362

Mailing address

1001 Sara Swamy Dr
Sherman, TX 75090-3120
Phone (903) 892-1999

Other practice location 1

4400 Interstate Highway 30 W Ste 300
Greenville, TX 75402-4643
Phone (469) 653-0222

Other practice location 2

1001 Sara Swamy Dr Ste 220
Sherman, TX 75090-3124
Phone (903) 892-1999

Other names 1

  • Texoma Anesthesia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220420000748 TX Part B Supplier - Clinic/Group Practice 5597152611 Receives reassigned benefits from 11 practitioners
Practice locations: Forney, TX; Greenville, TX; Rowlett, TX; Sherman, TX
O20230222000746 TX DME Supplier - Physician - Interventional Pain Management 5597152611 Practice locations: Rowlett, 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

Locations

7700 Lakeview Pkwy
#100B
Rowlett, TX 75088
Phone (903) 892-1999

7700 Lakeview Pkwy
Ste 300A
Rowlett, TX 75088
Phone (469) 825-4010

1001 Sara Swamy Dr
Sherman, TX 75090
Phone (903) 892-1999

1001 Sara Swamy Dr
Ste 220
Sherman, TX 75090
Phone (903) 892-1999

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1194308601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SARA SWAMY DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750903120",
            "telephone_number": "903-892-1999",
            "fax_number": "903-892-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LAKEVIEW PKWY # 100B",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884362",
            "telephone_number": "469-653-0222",
            "fax_number": "903-892-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Interstate Highway 30 W Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754024643",
            "country_code": "US",
            "telephone_number": "469-653-0222",
            "fax_number": "469-653-0225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Sara Swamy Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750903124",
            "country_code": "US",
            "telephone_number": "903-892-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DALLAS PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "VATTAM",
        "authorized_official_first_name": "SREENADHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-426-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texoma Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texoma Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.