Organization Active NPI

Texas Pain and Spine Physicians

  • Pain Medicine (Anesthesiology) Physician
  • Round Rock, TX
National Provider Identifier
1669713137
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
P4191 Issued in TX
Legal business name
TEXAS PAIN AND SPINE PHYSICIANS
Practice address
7215 Wyoming SPGS
Ste 300a
Round Rock, TX 78681-4312
Phone
(512) 388-1190
Fax
(512) 388-1174
NPI assigned
Mar 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Dr. Muhammad Ali Khan, MDNPI 1538348438
Title
President
Phone
(512) 388-1190

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X P4191 TX Primary

Addresses

Primary practice location

7215 Wyoming SPGS
Ste 300a
Round Rock, TX 78681-4312

Mailing address

PO Box 2674
Cedar Park, TX 78630-2674
Phone (512) 388-1190

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130611000581 TX Part B Supplier - Clinic/Group Practice 8426297029 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX; Round Rock, TX
O20150805007632 TX DME Supplier - Physician - Interventional Pain Management 8426297029 Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory

Locations

901 W 38th St
Austin, TX 78705
Phone (512) 388-1190

7215 Wyoming Springs Dr
#3
Round Rock, TX 78681
Phone (512) 388-1190

Interoperability endpoints

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

Practitioners 1

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

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
45D2057598Texas Pain and Spine Physicians7215 Wyoming Springs Dr, Round Rock, TX 78681Certificate of waiverApr 18, 2027

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1669713137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2674",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786302674",
            "telephone_number": "512-388-1190",
            "fax_number": "512-388-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 WYOMING SPGS",
            "address_2": "STE 300A",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814312",
            "telephone_number": "512-388-1190",
            "fax_number": "512-388-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PAIN AND SPINE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-388-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "P4191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.