Organization Active NPI

Pain Specialty Consultants, PA

  • Interventional Pain Medicine Physician
  • San Antonio, TX
National Provider Identifier
1710065149
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
J9353 Issued in TX
Legal business name
PAIN SPECIALTY CONSULTANTS, PA
Practice address
1200 Brooklyn Ave Ste 140
San Antonio, TX 78212-4817
Phone
(210) 527-1166
Fax
(210) 527-1163
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Prafulla C. Singh, M.D.NPI 1457439861
Title
Doctor
Phone
(210) 527-1166

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X J9353 TX
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X J9353 TX Primary

Addresses

Primary practice location

1200 Brooklyn Ave Ste 140
San Antonio, TX 78212-4817

Mailing address

PO Box 12952
San Antonio, TX 78212-0952
Phone (210) 527-1166

Other identifiers 2

IdentifierTypeStateIssuer
0027BROtherTXBLUECROSS BLUESHIELD
0802886-01MedicaidTX

Other names 1

  • Pain Specialty Consultants, PA Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000473 TX Part B Supplier - Clinic/Group Practice 8729138672 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

1303 McCullough Ave
Ste 237
San Antonio, TX 78212
Phone (210) 222-2694

Practitioners & affiliated clinicians

Practitioners 1

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1710065149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12952",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782120952",
            "telephone_number": "210-527-1166",
            "fax_number": "210-527-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKLYN AVE STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124817",
            "telephone_number": "210-527-1166",
            "fax_number": "210-527-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SPECIALTY CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "PRAFULLA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "210-527-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J9353",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "J9353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0027BR",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802886-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Specialty Consultants, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.