Individual provider Active NPI

Prafulla C. Singh, M.D.

  • Interventional Pain Medicine Physician
  • San Antonio, TX
National Provider Identifier
1457439861
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
J9353 Issued in TX
Practice address
1200 Brooklyn Ave Ste 140
San Antonio, TX 78212-4817
Phone
(210) 527-1166
Fax
(210) 527-1163
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J9353 TX
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X J9353 TX Primary

Addresses

Primary practice location

1200 Brooklyn Ave Ste 140
San Antonio, TX 78212-4817

Mailing address

PO Box 12952
San Antonio, TX 78212-0952
Phone (210) 527-1166

Other identifiers 3

IdentifierTypeStateIssuer
435455AU1COtherTXMEDICARE
0027BROtherTXBLUE CROSS
0802886-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090611000384 TX Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1254340045 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 Brooklyn Ave
San Antonio, TX 78212-4817
Phone (210) 527-1166

18600 N Hardy Oak Blvd
San Antonio, TX 78259-4206
Phone (210) 527-1166

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J9353TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Specialty Consultants, PA Single Specialty CurrentSince Apr 15, 2009 Accepting new patients
Arthritis Relief Centers PLLC Single Specialty CurrentSince Jul 18, 2020 Accepting new patients
Galleria Pain Physicians PLLC Single Specialty CurrentSince Jan 8, 2018 Accepting new patients

Locations

6700 West Loop S
Ste 225
Bellaire, TX 77401
Phone (281) 393-4121

1200 Brooklyn Ave
Ste 140
San Antonio, TX 78212
Phone (210) 495-0359

18600 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 404-0800

5101 Medical Dr
San Antonio, TX 78229
Phone (210) 592-5438

3212 Napier Park
San Antonio, TX 78231
Phone (210) 405-9797

19016 Stone Oak Pkwy
Ste 280
San Antonio, TX 78258
Phone (210) 545-5111

251 W Medical Center Blvd
Webster, TX 77598
Phone (281) 338-7693

251 W Medical Center Blvd
Ste 230
Webster, TX 77598
Phone (281) 603-9200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1457439861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12952",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782120952",
            "telephone_number": "210-527-1166",
            "fax_number": "210-527-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKLYN AVE STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124817",
            "telephone_number": "210-527-1166",
            "fax_number": "210-527-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "PRAFULLA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J9353",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "J9353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "435455AU1C",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0027BR",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802886-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.