Active NPI
Luis Nieves, M.D.
- Interventional Pain Medicine Physician
- Hurst, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- M7476
- Practice address
- 1717 Precinct Line Rd Ste 204
Hurst, TX 76054-3169 - Phone
- (855) 549-7246
- Fax
- (817) 514-1901
- NPI assigned
- Aug 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | M7476 | TX | |
| Interventional Pain Medicine Physician | 208VP0014X | M7476 | TX | Primary |
Addresses
Primary practice location
1717 Precinct Line Rd Ste 204
Hurst, TX 76054-3169
Mailing address
4730 N Habana Ave
Ste 204
Tampa, FL 33614-7163
Phone (813) 549-2134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196884602 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081006000426 | TX | Practitioner - Family Practice | 2567530496 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Pain Relief Group PLLC
Practice addresses (Care Compare)
1717 Precinct Line Rd
Suite 200
Hurst, TX 76054-3197
Phone (817) 369-3990
2730 Virginia Pkwy
Suite 300
McKinney, TX 75071-5144
Phone (469) 298-1486
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7476 | TX | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Pain Relief Group, PLLC | Interventional Pain Medicine | Current | Accepting new patients |
| Texas Pain Relief Group PLLC | Interventional Pain Medicine | Current | Accepting new patients |
| Texas Pain Relief Group PLLC | Past | Accepting new patients | |
| Rush Creek Emergency Physicians PLLC | Past | Accepting new patients | |
| Cedar Bluff Emergency Physicians | Past | Accepting new patients | |
| Inpatient Physician Associates PLLC | Past | Accepting new patients |
Locations
4730 N Habana Ave
Ste 204
Tampa, FL 33614
1717 Precinct Line Rd
Ste 204
Hurst, TX 76054
Phone (817) 479-7263
1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990
2730 Virginia Pkwy
Ste 300B
McKinney, TX 75071
Phone (469) 298-1486
Interoperability endpoints
- luis.nieves@ppoa.directbygreenway.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Hurst, TX
- NPI 1003246299
Interventional Pain Medicine, TX
-
- Interventional Pain Medicine Physician
- Tampa, FL
- NPI 1487028387
Interventional Pain Medicine
-
- Emergency Medicine Physician
- Mansfield, TX
- NPI 1588898985
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1285696898
-
- Emergency Medicine Physician
- Arlington, TX
- NPI 1851623540
-
- Family Nurse Practitioner
- Hurst, TX
- NPI 1396128328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1801089503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 N HABANA AVE",
"address_2": "STE 204",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147163",
"telephone_number": "813-549-2134",
"fax_number": "813-864-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 PRECINCT LINE RD STE 204",
"city": "HURST",
"state": "TX",
"postal_code": "760543169",
"telephone_number": "855-549-7246",
"fax_number": "817-514-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "LUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-26",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "M7476",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "M7476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196884602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.