NPIMap

Organization Active NPI

Pinnacle Pain Medicine PLLC

  • Interventional Pain Medicine Physician
  • Denton, TX
National Provider Identifier
1548739964
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PINNACLE PAIN MEDICINE PLLC
Practice address
3201 Colorado Blvd Ste 101
Denton, TX 76210-6863
Phone
(940) 483-9898
Fax
(940) 383-0643
NPI assigned
Nov 14, 2018
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Dr. Asadullah Hussain, MDNPI 1174500540
Title
Owner
Phone
(940) 453-1491

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3201 Colorado Blvd Ste 101
Denton, TX 76210-6863

Mailing address

3201 Colorado Blvd Ste 101
Denton, TX 76210-6863
Phone (940) 483-9898

Other identifiers 5

IdentifierTypeStateIssuer
1285055483OtherTXDEEPTI KHULLAR
1982976346OtherTXMEGAN BRIDGES
1174500540OtherTXASAD HUSSAIN
1093792467OtherTXMARK LOWE
401540601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190327002042 TX Part B Supplier - Clinic/Group Practice 6901146059 Receives reassigned benefits from 6 practitioners
Practice locations: Denton, TX

National Provider Directory

National Provider Directory

Locations

3201 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (940) 483-9898

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20490/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 12

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": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1548739964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 COLORADO BLVD STE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106863",
            "telephone_number": "940-483-9898",
            "fax_number": "940-383-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 COLORADO BLVD STE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106863",
            "telephone_number": "940-483-9898",
            "fax_number": "940-383-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PAIN MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "ASADULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-453-1491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEEPTI KHULLAR",
            "identifier": "1285055483",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEGAN BRIDGES",
            "identifier": "1982976346",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASAD HUSSAIN",
            "identifier": "1174500540",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARK LOWE",
            "identifier": "1093792467",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401540601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.