Organization Active NPI

Houston Spine & Joint Pain Consultants PLLC

  • Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1366830614
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
HOUSTON SPINE & JOINT PAIN CONSULTANTS PLLC
Practice address
4101 Greenbriar Dr # 208
Houston, TX 77098-5294
Phone
(832) 538-1024
Fax
(832) 538-1023
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Shabrez TariqNPI 1558542068
Title
MD
Phone
(832) 777-7246

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

4101 Greenbriar Dr # 208
Houston, TX 77098-5294

Mailing address

4101 Greenbriar Dr # 208
Houston, TX 77098-5294
Phone (832) 777-7246

Other practice location 1

14770 Memorial Dr Ste 150
Houston, TX 77079-5238
Phone (832) 777-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151119000647 TX Part B Supplier - Clinic/Group Practice 4385944560 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

525 N Sam Houston Pkwy E
Ste 440
Houston, TX 77060

10190 Katy Fwy
Ste 501
Houston, TX 77043
Phone (832) 777-7246

138 Eldridge Rd
Ste A
Sugar Land, TX 77478
Phone (281) 277-9800

Practitioners & affiliated clinicians

Practitioners 4

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": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1366830614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 GREENBRIAR DR # 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985294",
            "telephone_number": "832-777-7246",
            "fax_number": "832-706-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 GREENBRIAR DR # 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985294",
            "telephone_number": "832-538-1024",
            "fax_number": "832-538-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14770 Memorial Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770795238",
            "country_code": "US",
            "telephone_number": "832-777-7246",
            "fax_number": "832-706-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOUSTON SPINE & JOINT PAIN CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "TARIQ",
        "authorized_official_first_name": "SHABREZ",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "832-777-7246"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2018; 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.