Organization Active NPI

Expert Pain P.a.

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1659871978
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
K7615 Issued in TX
Legal business name
EXPERT PAIN P.A.
Practice address
11451 Katy Fwy Ste 340
Houston, TX 77079-2009
Phone
(832) 862-7246
Fax
(832) 862-6777
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Ioannis Mihail SkaribasNPI 1922150945
Title
MD
Phone
(832) 862-7246

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 K7615 TX Primary

Addresses

Primary practice location

11451 Katy Fwy Ste 340
Houston, TX 77079-2009

Mailing address

11451 Katy Fwy Ste 340
Houston, TX 77079-2009
Phone (832) 862-7246

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180305001709 TX Part B Supplier - Clinic/Group Practice 0648531855 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX
O20200423000965 TX DME Supplier - Physician - Interventional Pain Management 0648531855 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1201 N Dairy Ashford Rd
Ste 100
Houston, TX 77079
Phone (832) 862-7246

11451 Katy Fwy
Ste 340
Houston, TX 77079
Phone (832) 862-7128

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": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1659871978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11451 KATY FWY STE 340",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792009",
            "telephone_number": "832-862-7246",
            "fax_number": "832-862-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11451 KATY FWY STE 340",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792009",
            "telephone_number": "832-862-7246",
            "fax_number": "832-862-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT PAIN P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "SKARIBAS",
        "authorized_official_first_name": "IOANNIS",
        "authorized_official_middle_name": "MIHAIL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "832-862-7246"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K7615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

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