Organization Active NPI

Leg Pain Clinic PLLC

  • Vascular & Interventional Radiology Physician
  • Houston, TX
National Provider Identifier
1720826225
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
LEG PAIN CLINIC PLLC
Practice address
11240 FM 1960 Rd W Ste 406
Houston, TX 77065-3663
Phone
(713) 242-1139
Fax
(832) 410-3994
NPI assigned
Jul 18, 2024
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Shawana Anwer
Title
Director of Operations
Phone
(832) 799-4391

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X
Vascular & Interventional Radiology Physician 2085R0204X Primary

Addresses

Primary practice location

11240 FM 1960 Rd W Ste 406
Houston, TX 77065-3663

Mailing address

11240 FM 1960 Rd W Ste 406
Houston, TX 77065-3663
Phone (713) 242-1139

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240819000712 TX Part B Supplier - Clinic/Group Practice 5991243297 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, 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
45D2335685Leg Pain Clinic PLLC11240 FM 1960 Rd W Ste 406, Houston, TX 77065Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1720826225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 FM 1960 RD W STE 406",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653663",
            "telephone_number": "713-242-1139",
            "fax_number": "713-242-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 FM 1960 RD W STE 406",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653663",
            "telephone_number": "713-242-1139",
            "fax_number": "832-410-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEG PAIN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "ANWER",
        "authorized_official_first_name": "SHAWANA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "832-799-4391"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "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 Nov 18, 2025; 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.