Organization Active NPI

Pain Management of North Dallas, PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Frisco, TX
National Provider Identifier
1376998146
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
Q5195 Issued in TX
Legal business name
PAIN MANAGEMENT OF NORTH DALLAS, PA
Practice address
8501 Wade Blvd Ste 1330
Frisco, TX 75034-5894
Phone
(214) 618-0853
Fax
(214) 618-0859
NPI assigned
Apr 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Dr. Adeel Haq, M.D.NPI 1326091976
Title
President
Phone
(214) 618-0853

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 (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Q5195 TX Primary

Addresses

Primary practice location

8501 Wade Blvd Ste 1330
Frisco, TX 75034-5894

Mailing address

8501 Wade Blvd Ste 1330
Frisco, TX 75034-5894
Phone (214) 618-0853

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160629000077 TX Part B Supplier - Clinic/Group Practice 4880985415 Receives reassigned benefits from 5 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1376998146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 WADE BLVD STE 1330",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345894",
            "telephone_number": "214-618-0853",
            "fax_number": "214-618-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 WADE BLVD STE 1330",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345894",
            "telephone_number": "214-618-0853",
            "fax_number": "214-618-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT OF NORTH DALLAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "ADEEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-618-0853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "Q5195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.