Organization Active NPI

Pain Management Associates, PA

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1326283300
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L1360 Issued in TX
Legal business name
PAIN MANAGEMENT ASSOCIATES, PA
Practice address
13636 Breton Ridge St Ste D
Houston, TX 77070-6077
Phone
(832) 688-9160
Fax
(832) 688-9251
NPI assigned
Dec 4, 2008
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Dr. Naveendra Korivi, D.O.NPI 1609845106
Title
Physician
Phone
(832) 688-9160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X L1360 TX Primary

Addresses

Primary practice location

13636 Breton Ridge St Ste D
Houston, TX 77070-6077

Mailing address

13636 Breton Ridge St Ste D
Houston, TX 77070-6077
Phone (832) 688-9160

Other identifiers 3

IdentifierTypeStateIssuer
DU6520OtherTXRR MCR GROUP PTAN
0088SAOtherTXBCBS GROUP RECORD ID
0A4705OtherTXMEDICARE GROUP PTAN

National Provider Directory

National Provider Directory

Locations

11301 Fallbrook Dr
Ste 102
Houston, TX 77065
Phone (281) 894-4500

Practitioners & affiliated clinicians

Practitioners 1

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": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1326283300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 BRETON RIDGE ST STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706077",
            "telephone_number": "832-688-9160",
            "fax_number": "832-688-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13636 BRETON RIDGE ST STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706077",
            "telephone_number": "832-688-9160",
            "fax_number": "832-688-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "KORIVI",
        "authorized_official_first_name": "NAVEENDRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-688-9160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L1360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR GROUP PTAN",
            "identifier": "DU6520",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP RECORD ID",
            "identifier": "0088SA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "0A4705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.