Organization Active NPI

Masroor Ahmed MD PA

Doing business as Pain & Spine Care Ctr

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1376588863
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
K7237 Issued in TX
Legal business name
MASROOR AHMED MD PA
Doing business as
Pain & Spine Care Ctr
Practice address
11790 FM 1960 W
Houston, TX 77070
Phone
(281) 970-0500
Fax
(281) 970-0506
NPI assigned
Jun 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Masroor Ahmed, MDNPI 1861691081
Title
President
Phone
(281) 970-0500

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
Interventional Pain Medicine Physician 208VP0014X K7237 TX Primary

Addresses

Primary practice location

11790 FM 1960 W
Houston, TX 77070

Mailing address

PO Box 940819
Houston, TX 77094-7819
Phone (281) 970-0500

Other identifiers 1

IdentifierTypeStateIssuer
41LGOtherTXBCBS

Other names 1

  • Pain & Spine Care Ctr Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803000633 TX Part B Supplier - Clinic/Group Practice 1850362930 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

11790 FM 1960 Rd W
Houston, TX 77065
Phone (281) 955-7997

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376588863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940819",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770947819",
            "telephone_number": "281-970-0500",
            "fax_number": "281-970-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 FM 1960 W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "281-970-0500",
            "fax_number": "281-970-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASROOR AHMED MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MASROOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-970-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K7237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41LG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain & Spine Care Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.