NPIMap

Organization Active NPI

RPK Anesthesia PA.

  • Interventional Pain Medicine Physician
  • Beaumont, TX
National Provider Identifier
1376712554
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
RPK ANESTHESIA PA.
Practice address
155 Ih-10 North
Beaumont, TX 77707-2550
Phone
(713) 378-3066
Fax
(713) 378-3077
NPI assigned
Feb 21, 2008
Organization subpart
Yes
Parent organization
RPK ANESTHESIA PA.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Jose R. Reyes Jr., M.D.NPI 1578584355
Title
Medical Director
Phone
(713) 378-3066

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

155 Ih-10 North
Beaumont, TX 77707-2550

Mailing address

PO Box 5607
Pasadena, TX 77508-5607
Phone (713) 378-3066

Other identifiers 1

IdentifierTypeStateIssuer
0046CCOtherTXBCBS GROUP #

Other names 1

  • Beaumont Pain Consultants Doing business as

National Provider Directory

National Provider Directory
Part of
RPK Anesthesia PA

Locations

155 Interstate 10 N
Beaumont, TX 77707
Phone (409) 833-5600

10909 Sabo Rd
Ste 228
Houston, TX 77089
Phone (281) 922-4557

4301 Vista Rd
#A
Pasadena, TX 77504
Phone (713) 378-3066

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1376712554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5607",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775085607",
            "telephone_number": "713-378-3066",
            "fax_number": "713-378-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 IH-10 NORTH",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072550",
            "telephone_number": "713-378-3066",
            "fax_number": "713-378-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RPK ANESTHESIA PA.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RPK ANESTHESIA PA.",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-378-3066",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, 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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0046CC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaumont Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.