Organization Active NPI

Texas Pain and Regenerative Medicine PLLC

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1760998108
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
TEXAS PAIN AND REGENERATIVE MEDICINE PLLC
Practice address
11226 Southwest Fwy Ste a
Houston, TX 77031-3604
Phone
(832) 486-9346
Fax
(832) 553-7823
NPI assigned
Dec 21, 2017
Last updated
Jan 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Samir Fahed, MDNPI 1063698645
Title
Sole Member
Phone
(832) 993-7072

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 Physician 208VP0014X NU Primary

Addresses

Primary practice location

11226 Southwest Fwy Ste a
Houston, TX 77031-3604

Mailing address

11226 Southwest Fwy Ste a
Houston, TX 77031-3604
Phone (832) 486-9346

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180215001561 TX Part B Supplier - Clinic/Group Practice 9739449554 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX
O20240205003782 TX DME Supplier - Physician - Interventional Pain Management 9739449554 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

11226 Southwest Fwy
Ste A
Houston, TX 77031
Phone (832) 486-9346

Practitioners & affiliated clinicians

Practitioners 2

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": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1760998108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11226 SOUTHWEST FWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313604",
            "telephone_number": "832-486-9346",
            "fax_number": "832-553-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11226 SOUTHWEST FWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313604",
            "telephone_number": "832-486-9346",
            "fax_number": "832-553-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PAIN AND REGENERATIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "FAHED",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "832-993-7072",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "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 Jan 16, 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.