Organization Active NPI

Akesis Spine and Pain Intervention

  • Interventional Pain Medicine Physician
  • Nacogdoches, TX
National Provider Identifier
1558192625
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
AKESIS SPINE AND PAIN INTERVENTION
Practice address
3226 N University Dr Ste 300
Nacogdoches, TX 75965-3800
Phone
(936) 234-8488
Fax
(936) 234-8482
NPI assigned
Aug 12, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Aaron HellerNPI 1366860991
Title
Physician
Phone
(936) 234-8488

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
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

3226 N University Dr Ste 300
Nacogdoches, TX 75965-3800

Mailing address

PO Box 630092
Nacogdoches, TX 75963-0092
Phone (936) 234-8488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241016001989 TX Part B Supplier - Clinic/Group Practice 6901338847 Receives reassigned benefits from 1 practitioner
Practice locations: Nacogdoches, 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
45D2312199Akesis Spine and Pain Intervention3226 N University Dr, Ste 300, Nacogdoches, TX 75965Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory

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": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1558192625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630092",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759630092",
            "telephone_number": "936-234-8488",
            "fax_number": "936-234-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 N UNIVERSITY DR STE 300",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759653800",
            "telephone_number": "936-234-8488",
            "fax_number": "936-234-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKESIS SPINE AND PAIN INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "936-234-8488"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.