NPIMap

Organization Active NPI

Winnie Community Hospital LLC

Doing business as Riceland Pain Clinic

  • Interventional Pain Medicine Physician
  • Nederland, TX
National Provider Identifier
1316623481
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
WINNIE COMMUNITY HOSPITAL LLC
Doing business as
Riceland Pain Clinic
Practice address
2400 Highway 365 Ste 208
Nederland, TX 77627-6250
Phone
(409) 724-7904
Fax
(409) 226-3374
NPI assigned
Jun 23, 2023
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Mr. M. Tahir Javed
Title
Ceo
Phone
(409) 730-8054

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

2400 Highway 365 Ste 208
Nederland, TX 77627-6250

Mailing address

538 Broadway
Winnie, TX 77665-7600
Phone (409) 296-6000

Other practice location 1

2014 S Wheeler St Ste 170
Jasper, TX 75951-5627
Phone (409) 554-0545

Other practice location 2

87 Ih 10 N Ste 200
Beaumont, TX 77707-2559
Phone (409) 554-0545

Other practice location 3

2501 Jimmy Johnson Blvd Ste 401
Port Arthur, TX 77640-2013
Phone (409) 554-0545

Other names 1

  • Riceland Pain Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000349 TX Part B Supplier - Clinic/Group Practice 3375440894 Receives reassigned benefits from 31 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winnie, TX; Vidor, TX; Silsbee, TX; Port Arthur, TX; Nederland, TX; Beaumont, TX

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Winnie Comm Hosp LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

85 Interstate 10 N
Ste 112
Beaumont, TX 77707
Phone (409) 239-5139

87 Interstate 10 N
Ste 200
Beaumont, TX 77707
Phone (409) 554-0545

Practitioners & affiliated clinicians

Practitioners 57

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 57

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1316623481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 BROADWAY",
            "city": "WINNIE",
            "state": "TX",
            "postal_code": "776657600",
            "telephone_number": "409-296-6000",
            "fax_number": "409-296-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 365 STE 208",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276250",
            "telephone_number": "409-724-7904",
            "fax_number": "409-226-3374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 S Wheeler St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TX",
            "postal_code": "759515627",
            "country_code": "US",
            "telephone_number": "409-554-0545",
            "fax_number": "409-554-0921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "87 Ih 10 N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777072559",
            "country_code": "US",
            "telephone_number": "409-554-0545",
            "fax_number": "409-554-0921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Jimmy Johnson Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776402013",
            "country_code": "US",
            "telephone_number": "409-554-0545",
            "fax_number": "409-554-0921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINNIE COMMUNITY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "TAHIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-730-8054",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riceland Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riceland Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.