NPIMap

Organization Active NPI

Premier Pain Solutions PLLC

  • Interventional Pain Medicine Physician
  • Dallas, TX
National Provider Identifier
1477939320
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
P1883 Issued in TX
Legal business name
PREMIER PAIN SOLUTIONS PLLC
Practice address
8390 Lyndon B Johnson Fwy Ste 1000
Dallas, TX 75243-1288
Phone
(972) 200-3663
Fax
(972) 759-9060
NPI assigned
Aug 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Sumit Katyal, MDNPI 1629244538
Title
Ceo
Phone
(937) 361-7243

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X P1883 TX Primary

Addresses

Primary practice location

8390 Lyndon B Johnson Fwy Ste 1000
Dallas, TX 75243-1288

Mailing address

8390 Lyndon B Johnson Fwy Ste 1000
Dallas, TX 75243-1288
Phone (972) 200-3663

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151006000833 TX Part B Supplier - Clinic/Group Practice 2163730490 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

12225 Greenville Ave
Ste 122
Dallas, TX 75243
Phone (972) 235-7060

8390 Lyndon B Johnson Fwy
Ste 1000B
Dallas, TX 75243
Phone (972) 200-3663

320 Regal Row
Ste 300
Dallas, TX 75247
Phone (817) 308-8477

835 W Royal LN Ste 230
Irving, TX 75039

1701 Eldorado Pkwy
Ste 202
McKinney, TX 75069
Phone (214) 544-8686

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBJJAD

Practitioners & affiliated clinicians

Practitioners 10

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": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1477939320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 LYNDON B JOHNSON FWY STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431288",
            "telephone_number": "972-200-3663",
            "fax_number": "972-759-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 LYNDON B JOHNSON FWY STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431288",
            "telephone_number": "972-200-3663",
            "fax_number": "972-759-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "KATYAL",
        "authorized_official_first_name": "SUMIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-361-7243",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "P1883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.