Organization Active NPI

Patel Anesthesia and Pain Specialists

Doing business as Spine and Pain Institute of Texas

  • Interventional Pain Medicine Physician
  • Dallas, TX
National Provider Identifier
1639734593
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PATEL ANESTHESIA AND PAIN SPECIALISTS
Doing business as
Spine and Pain Institute of Texas
Practice address
3503 W Wheatland Rd Ste 100
Dallas, TX 75237-4410
Phone
(469) 313-0040
Fax
(469) 313-0041
NPI assigned
May 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Dr. Pritesh Patel, DONPI 1356695688
Title
Owner/Authorized Official
Phone
(978) 328-8686

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3503 W Wheatland Rd Ste 100
Dallas, TX 75237-4410

Mailing address

3503 W Wheatland Rd Ste 100
Dallas, TX 75237-4410
Phone (469) 313-0040

Other practice location 1

1001 York Dr
DeSoto, TX 75115-2083
Phone (469) 313-0040

Other names 1

  • Spine and Pain Institute of Texas Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190711000690 TX Part B Supplier - Clinic/Group Practice 5092040147 Receives reassigned benefits from 4 practitioners
Practice locations: Dallas, TX
O20201015001945 TX DME Supplier - Physician - Unknown Physician Specialty 5092040147 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

3505 W Wheatland Rd
Ste 100
Dallas, TX 75237
Phone (469) 313-0040

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGEBDD

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1639734593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 W WHEATLAND RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374410",
            "telephone_number": "469-313-0040",
            "fax_number": "469-313-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 W WHEATLAND RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374410",
            "telephone_number": "469-313-0040",
            "fax_number": "469-313-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 York Dr",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751152083",
            "country_code": "US",
            "telephone_number": "469-313-0040",
            "fax_number": "469-313-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATEL ANESTHESIA AND PAIN SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRITESH",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "978-328-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine and Pain Institute of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 2, 2024; 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.