Shyam Purswani, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

K1005 Issued in TX

Practice address

2455 NE Loop 410 Ste 101
San Antonio, TX 78217-5650

Phone

(210) 590-9080

Fax

(210) 590-9087

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Interventional Pain Management

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Pain Consultants PLLCGroup PAC ID 0840241865, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Premier Pain Consultants, PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1003835133
  Medicare reassignment Care Compare group NPD
• Premier Pain Consultants, PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1336584093
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1497763304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD",
            "address_2": "STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-616-9400",
            "fax_number": "210-616-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 NE LOOP 410 STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175650",
            "telephone_number": "210-590-9080",
            "fax_number": "210-590-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURSWANI",
        "first_name": "SHYAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "K1005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297020-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED NETWORKS INC",
            "identifier": "TXB153365",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Purple Iris Dental Association
• Christopher John Pursch, DPT
• Julia Donelson Pursch, MD
• Alec Purser
• Pursuing Joy PLLC
• Kaci Purvis, M.S., CCC-SLP
• Linda Ann Pusateri, LCSW
• Angela Pustizzi
• Tatyana Pustylnik, DMD
• Jomol Shanko Puthen, FNP

• Pain Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.