Organization Active NPI

Skilled Pain Care Clinic, P.a.

  • Interventional Pain Medicine Physician
  • Katy, TX
National Provider Identifier
1497301386
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SKILLED PAIN CARE CLINIC, P.A.
Practice address
2840 Commercial Center Blvd Ste 104
Katy, TX 77494-6412
Phone
(832) 533-8872
NPI assigned
Aug 15, 2019
Organization subpart
Yes
Parent organization
SKILLED PAIN CARE CLINIC, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Syed M NasirNPI 1376697045
Title
Medical Doctor
Phone
(832) 533-8872

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 Primary

Addresses

Primary practice location

2840 Commercial Center Blvd Ste 104
Katy, TX 77494-6412

Mailing address

2050 North Loop W Ste 135
Houston, TX 77018-8143
Phone (832) 533-8872

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drsnasir@skilledpaincare.com

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2169815Skilled Pain Care Clinic PA2840 Commercial Center Blvd #104, Katy, TX 77494Certificate of waiverJul 28, 2027

National Provider Directory

National Provider Directory
Part of
Skilled Pain Care Clinic PA

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 2

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": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1497301386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 NORTH LOOP W STE 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188143",
            "telephone_number": "832-533-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 COMMERCIAL CENTER BLVD STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946412",
            "telephone_number": "832-533-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED PAIN CARE CLINIC, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKILLED PAIN CARE CLINIC, P.A.",
        "enumeration_date": "2019-08-15",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "NASIR",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "832-533-8872"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsnasir@skilledpaincare.com",
            "affiliation": "N",
            "address_1": "2840 Commercial Center Blvd Ste 104",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774946412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.