Organization Active NPI

Texas Pain & Orthopedics PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Pflugerville, TX
National Provider Identifier
1245981646
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
TEXAS PAIN & ORTHOPEDICS PLLC
Practice address
201 N Heatherwilde Blvd Apt 202
Pflugerville, TX 78660-6448
Phone
(512) 738-8811
Fax
(512) 290-9213
NPI assigned
Jan 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Ikram Malik, MDNPI 1346595741
Title
MD
Phone
(512) 738-8811

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
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

201 N Heatherwilde Blvd Apt 202
Pflugerville, TX 78660-6448

Mailing address

201 N Heatherwilde Blvd Apt 202
Pflugerville, TX 78660-6448
Phone (512) 738-8811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220426000143 TX Part B Supplier - Clinic/Group Practice 5799172565 Receives reassigned benefits from 1 practitioner
Practice locations: Pflugerville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2323587Texas Pain & Orthopedics201 N Heatherwilde, Ste 202, Pflugerville, TX 78660Certificate of waiverMay 7, 2027

National Provider Directory

National Provider Directory

Locations

201 N Heatherwilde Blvd
Ste 202
Pflugerville, TX 78660
Phone (512) 738-8811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1245981646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N HEATHERWILDE BLVD APT 202",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606448",
            "telephone_number": "512-738-8811",
            "fax_number": "512-290-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N HEATHERWILDE BLVD APT 202",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606448",
            "telephone_number": "512-738-8811",
            "fax_number": "512-290-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PAIN & ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "IKRAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "512-738-8811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.