Organization Active NPI

Modern Acute Pain & Anesthesia Services PLLC

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1518522895
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MODERN ACUTE PAIN & ANESTHESIA SERVICES PLLC
Practice address
902 Frostwood Dr Ste 235
Houston, TX 77024-2417
Phone
(713) 298-0120
Fax
(713) 513-5303
NPI assigned
May 2, 2019
Last updated
May 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
George Michel Atallah, DONPI 1093940694
Title
Owner/Physician
Phone
(713) 298-0120

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
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

902 Frostwood Dr Ste 235
Houston, TX 77024-2417

Mailing address

902 Frostwood Dr Ste 235
Houston, TX 77024-2417
Phone (713) 298-0120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190806000669 TX Part B Supplier - Clinic/Group Practice 6406183037 Receives reassigned benefits from 4 practitioners
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1518522895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 235",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242417",
            "telephone_number": "713-298-0120",
            "fax_number": "713-513-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 235",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242417",
            "telephone_number": "713-298-0120",
            "fax_number": "713-513-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN ACUTE PAIN & ANESTHESIA SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "ATALLAH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHEL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "713-298-0120",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.