Texas Interventional Pain Care, P.a.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

L5788 Issued in TX

Legal business name

TEXAS INTERVENTIONAL PAIN CARE, P.A.

Practice address

2201 N Central Expy
Suite 171
Richardson, TX 75080-2754

Phone

(972) 952-0290

Fax

(972) 952-0293

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Arif Bashir Khan, MDNPI 1386662567

Title

Owner/Ceo

Phone

(972) 952-0290

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Texas Interventional Pain Care, P.a.

  • Specialist
  • Richardson, TX
  • NPI 1356526198

  O20040112000407

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Arif Basir Khan

  • Interventional Pain Medicine Physician
  • Richardson, TX
  • NPI 1386662567
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1396929337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678054",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N CENTRAL EXPY",
            "address_2": "SUITE 171",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802754",
            "telephone_number": "972-952-0290",
            "fax_number": "972-952-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS INTERVENTIONAL PAIN CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ARIF",
        "authorized_official_middle_name": "BASHIR",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "972-952-0290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L5788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000002KD00",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.