Premier Pain Centers PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

R2266 Issued in TX

Legal business name

PREMIER PAIN CENTERS PA

Practice address

2071 N Collins Blvd Ste 100
Richardson, TX 75080-2696

Phone

(469) 454-6966

NPI assigned

Apr 19, 2018

Last updated

Aug 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rao K Ali, MDNPI 1558694539

Title

Owner

Phone

(732) 766-4107

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 23

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.

• Rao K Ali, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Richardson, TX
  • NPI 1558694539
  Medicare reassignment Care Compare group NPD Authorized official
• Darryl Brumfield

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Venus, TX
  • NPI 1609742154
  Medicare reassignment Care Compare group NPD
• Christopher P Creighton, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Richardson, TX
  • NPI 1326060468
  Medicare reassignment Care Compare group NPD
• Padmaja Doniparthi, M.D.

  • Interventional Pain Medicine Physician
  • Rowlett, TX
  • NPI 1437132198
  Medicare reassignment Care Compare group NPD
• Amna Fouzia Mallick, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richardson, TX
  • NPI 1619853231
  Medicare reassignment Care Compare group NPD
• Mayur Patel, MD

  • Psychiatry Physician
  • Richardson, TX
  • NPI 1487396032
  Medicare reassignment Care Compare group NPD
• Ronnie A. Pollard, MD

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1104871243
  Medicare reassignment Care Compare group NPD
• Sridevi Veeramasuneni

  • Physician Assistant
  • Richardson, TX
  • NPI 1831952613
  Medicare reassignment Care Compare group NPD
• Rashid Khalil, M.D.

  • Anesthesiology Physician
  • Toledo, OH
  • NPI 1003000142

  Pain Medicine, TX

  Medicare reassignment Care Compare group NPD
• Quan Dang Le, M.D

  • Physical Medicine & Rehabilitation Physician
  • Lovington, NM
  • NPI 1811166770

  TX

  Medicare reassignment Care Compare group NPD
• Shamsideen Olamitunde Musa, M.D.

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1649616459

  Pain Medicine, TX

  Medicare reassignment Care Compare group NPD
• Sharon Anna Shaji

  • Physician Assistant
  • Sunnyvale, TX
  • NPI 1427886456
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1538656160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 N COLLINS BLVD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802696",
            "telephone_number": "469-575-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 N COLLINS BLVD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802696",
            "telephone_number": "469-454-6966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Highway 78 Ste 207",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750984000",
            "country_code": "US",
            "telephone_number": "732-766-4107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 N Calley PKWY",
            "address_2": "STE 1",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "75067",
            "country_code": "US",
            "telephone_number": "732-766-4107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER PAIN CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "RAO",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-766-4107",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "R2266",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.