NPIMap

Organization Active NPI

Pain Care Physicians, PA

Doing business as Spine Diagnostic and Treatment Center

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1598745317
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J8005 Issued in TX
Legal business name
PAIN CARE PHYSICIANS, PA
Doing business as
Spine Diagnostic and Treatment Center
Practice address
2315 W Ben White Blvd
Austin, TX 78704-7524
Phone
(512) 326-5440
Fax
(512) 326-8660
NPI assigned
Jan 18, 2006
Last updated
Mar 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Anand Joshi, M.D.NPI 1992716237
Title
President
Phone
(512) 326-5440

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
Physical Medicine & Rehabilitation Physician 208100000X J8005 TX Primary

Addresses

Primary practice location

2315 W Ben White Blvd
Austin, TX 78704-7524

Mailing address

2315 W Ben White Blvd
Austin, TX 78704-7524
Phone (512) 326-5440

Other identifiers 1

IdentifierTypeStateIssuer
161651801MedicaidTX

Other names 1

  • Spine Diagnostic and Treatment Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040614000901 TX Part B Supplier - Clinic/Group Practice 9436133923 Receives reassigned benefits from 8 practitioners
Practice locations: Austin, TX; Bastrop, TX; San Marcos, TX
O20100930022804 TX DME Supplier - Physician - Physical and Rehabilitation 9436133923 Practice locations: Austin, 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
45D1101827Pain Care Physicians, PA2315 W Ben White Blvd, Austin, TX 78704Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory

Locations

1221 W Ben White Blvd
Ste 208A
Austin, TX 78704
Phone (512) 445-2833

2315 W Ben White Blvd
Austin, TX 78704
Phone 5123265440206

900 W 38th St
Ste 100A
Austin, TX 78705

3101 Highway 71 E
Ste 100
Bastrop, TX 78602
Phone (512) 304-0300

1305 Wonder World Dr
Ste 306
San Marcos, TX 78666
Phone (512) 396-1000

Practitioners & affiliated clinicians

Practitioners 11

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": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1598745317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047524",
            "telephone_number": "512-326-5440",
            "fax_number": "512-326-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047524",
            "telephone_number": "512-326-5440",
            "fax_number": "512-326-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "ANAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-326-5440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J8005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161651801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Diagnostic and Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.