Laredo Pain Consultants, Inc.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

J1013 Issued in TX

Legal business name

LAREDO PAIN CONSULTANTS, INC.

Practice address

6801 McPherson Rd Ste 334
Laredo, TX 78041-6417

Phone

(956) 727-7246

Fax

(956) 728-8827

NPI assigned

Apr 29, 2011

Last updated

Oct 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eliel Ntakirutimana, MDNPI 1306863253

Title

President

Phone

(956) 727-7246

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pain Consultants of Texas Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Eliel Ntakirutimana, M. D.

  • Pain Medicine (Anesthesiology) Physician
  • Laredo, TX
  • NPI 1306863253
  Medicare reassignment Care Compare group NPD Authorized official
• Gloria Nataki Koroma, NP

  • Family Nurse Practitioner
  • Laredo, TX
  • NPI 1952658205
  Medicare reassignment Care Compare group NPD
• Jerome Sixbert Nataki, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1285146191
  Medicare reassignment NPD

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1265723837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MCPHERSON RD STE 334",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416417",
            "telephone_number": "956-727-7246",
            "fax_number": "956-728-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MCPHERSON RD STE 334",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416417",
            "telephone_number": "956-727-7246",
            "fax_number": "956-728-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO PAIN CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "NTAKIRUTIMANA",
        "authorized_official_first_name": "ELIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-727-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J1013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1306863253",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Consultants of Texas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pain Medicine (Anesthesiology) Physician in Laredo, TX
• Providers in Laredo, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.