Miguel Angel Pappolla, MD, PHD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

J5436 Issued in TX

Practice address

2646 S Loop West Ste 106
Houston, TX 77054-1901

Phone

(713) 661-0300

Fax

(281) 822-0480

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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.

• Unicare MRI & Diagnostic Center LLC

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1598896516
  NPD
• Memorial Hospital at Gulfport

  • Emergency Medicine Physician
  • Gulfport, MS
  • NPI 1962780379
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1528051646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542676",
            "telephone_number": "713-661-0300",
            "fax_number": "281-822-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP WEST STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541901",
            "telephone_number": "713-661-0300",
            "fax_number": "281-822-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPOLLA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J5436",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "J5436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132611807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pheba Pappachan, FNP-C, PMHNP-BC, DNP
• Shalini Pappachan, APRN
• John Tasos Pappadas, M.D.
• Kalaiselvi Pappankattur, PHD., CCC-SLP
• Stephen C Pappas, M.D.
• Par Surgical
• Para-Raghu, LLC
• Shweta Parab
• Abdul Wasay Alam Paracha, MD
• Andrea Guadalupe Parada, MPH, RD, CSP

• Interventional Pain Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.