Organization Active NPI

Cardinal Pain Center PA

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
National Provider Identifier
1538303441
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
CARDINAL PAIN CENTER PA
Practice address
221 W. Colorado Blvd
Pavillion 2 Suite 940
Dallas, TX 75208-1259
Phone
(214) 377-1753
Fax
(214) 946-1988
NPI assigned
Apr 22, 2009
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Dr. Vijayasree Arvind, MDNPI 1104861020
Title
Director
Phone
(214) 226-3988

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
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

221 W. Colorado Blvd
Pavillion 2 Suite 940
Dallas, TX 75208-1259

Mailing address

221 W. Colorado Blvd
Pavillion 2 Suite 940
Dallas, TX 75208-1259
Phone (214) 377-1753

Other practice location 1

490 US Highway 80 E Ste 200
Sunnyvale, TX 75182-9220
Phone (214) 377-1753

Other practice location 2

3430 W Wheatland Rd Ste 419
Dallas, TX 75237-3447
Phone (214) 377-1753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090630000089 TX Part B Supplier - Clinic/Group Practice 2961553169 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX; Sunnyvale, TX
O20110301001118 TX DME Supplier - Physician - Interventional Pain Management 2961553169 Practice locations: Dallas, TX

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
45D2016651Cardinal Pain Center221 W Colorado Blvd, Dallas, TX 75208Certificate of waiverNov 21, 2026

National Provider Directory

National Provider Directory

Locations

1411 N Beckley Ave
#474P
Dallas, TX 75203

1441 N Beckley Ave
Fl 3
Dallas, TX 75203
Phone (214) 377-1753

3430 W Wheatland Rd
Ste 419
Dallas, TX 75237
Phone (214) 393-5007

4222 Trinity Mills Rd
Ste 212
Dallas, TX 75287
Phone (214) 377-1753

Practitioners & affiliated clinicians

Practitioners 1

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": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1538303441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W. COLORADO BLVD",
            "address_2": "PAVILLION 2 SUITE 940",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081259",
            "telephone_number": "214-377-1753",
            "fax_number": "214-946-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W. COLORADO BLVD",
            "address_2": "PAVILLION 2 SUITE 940",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081259",
            "telephone_number": "214-377-1753",
            "fax_number": "214-946-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 US Highway 80 E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "TX",
            "postal_code": "751829220",
            "country_code": "US",
            "telephone_number": "214-377-1753",
            "fax_number": "214-946-1988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 W Wheatland Rd Ste 419",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752373447",
            "country_code": "US",
            "telephone_number": "214-377-1753",
            "fax_number": "214-946-1988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDINAL PAIN CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "ARVIND",
        "authorized_official_first_name": "VIJAYASREE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-226-3988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "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 Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.