Individual provider Active NPI

Demaceo Howard, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
National Provider Identifier
1225006752
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
S2344 Issued in TX
Practice address
7515 Greenville Ave Ste 500
Dallas, TX 75231-3849
Phone
(719) 598-8155
Fax
(719) 598-3188
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X S2344 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X S2344 TX Primary

Addresses

Primary practice location

7515 Greenville Ave Ste 500
Dallas, TX 75231-3849

Mailing address

1700 Cedar Springs Rd Apt 1413
Dallas, TX 75202-1213
Phone (309) 363-0485

Other identifiers 3

IdentifierTypeStateIssuer
036084320MedicaidTX
F28056OtherTXMEDICARE UPIN
F28056OtherTXMEDICARE ID-TYPE UNSPECIFIED

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
I20190904001450 TX Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 2264332949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Pain Relief Group PLLCGroup PAC ID 2668603952, 14 clinicians

Practice addresses (Care Compare)

2730 Virginia Pkwy
Suite 300
McKinney, TX 75071-5144
Phone (469) 298-1486

5575 Warren Pkwy
Suite 104
Frisco, TX 75034-4066
Phone (817) 576-0896

6957 W Plano Pkwy
Suite 2700
Plano, TX 75093-1626
Phone (817) 409-6191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S2344TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Relief Group PLLC CurrentSince Jun 14, 2019 Accepting new patients
Texas Pain Relief Group, PLLC CurrentSince Jun 14, 2019 Accepting new patients
Associated Anesthesiologists, S.C. Anesthesiology Past Accepting new patients
Texas Pain Relief Group PLLC Past Accepting new patients

Locations

7515 Greenville Ave
Ste 500
Dallas, TX 75231
Phone (214) 345-1299

1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990

2730 Virginia Pkwy
Ste 300
McKinney, TX 75071
Phone (469) 298-1486

6957 W Plano Pkwy
Ste 2700
Plano, TX 75093
Phone (214) 808-3427

Interoperability endpoints

  • Direct secure messaging: demaceo.howard@ppoa.directbygreenway.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1225006752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CEDAR SPRINGS RD APT 1413",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752021213",
            "telephone_number": "309-363-0485",
            "fax_number": "719-598-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313849",
            "telephone_number": "719-598-8155",
            "fax_number": "719-598-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "DEMACEO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "S2344",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "S2344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084320",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "F28056",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "F28056",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.