Organization Active NPI

Alavie Interventional Pain Management, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Live Oak, TX
National Provider Identifier
1265918569
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ALAVIE INTERVENTIONAL PAIN MANAGEMENT, PLLC
Practice address
12315 Judson Rd Ste 118
Live Oak, TX 78233-3263
Phone
(210) 644-4446
Fax
(210) 664-4447
NPI assigned
Jul 19, 2018
Last updated
Feb 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Authorized official

Name
Dr. Christian Gene Samuelson, MDNPI 1457795676
Title
Physician / Owner
Phone
(210) 664-4446

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 (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

12315 Judson Rd Ste 118
Live Oak, TX 78233-3263

Mailing address

12315 Judson Rd Ste 118
Live Oak, TX 78233-3263
Phone (210) 664-4446

Other practice location 1

1001 Water St Ste E
Kerrville, TX 78028-3513
Phone (210) 664-4446 ext. 44446

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180830000033 TX Part B Supplier - Clinic/Group Practice 8628328333 Receives reassigned benefits from 4 practitioners
Practice locations: Kerrville, TX; Live Oak, TX
O20190405001251 TX DME Supplier - Physician - Interventional Pain Management 8628328333 Practice locations: Live Oak, 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
45D2164899Alavie Interventional Pain Management, PLLC12315 Judson Road Suite 118, Live Oak, TX 78233AccreditationFeb 11, 2028

National Provider Directory

National Provider Directory

Locations

1001 Water St
Ste E
Kerrville, TX 78028
Phone 2106644446 ext. 44446

12315 Judson Rd
Ste 118
Live Oak, TX 78233
Phone (210) 655-7271

Practitioners & affiliated clinicians

Practitioners 4

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": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770422400000",
    "number": "1265918569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 JUDSON RD STE 118",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333263",
            "telephone_number": "210-664-4446",
            "fax_number": "210-664-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 JUDSON RD STE 118",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333263",
            "telephone_number": "210-644-4446",
            "fax_number": "210-664-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Water St Ste E",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "780283513",
            "country_code": "US",
            "telephone_number": "210-664-4446 x44446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALAVIE INTERVENTIONAL PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "210-664-4446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; 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.