Individual provider Active NPI

Luis Nieves, M.D.

  • Interventional Pain Medicine Physician
  • Hurst, TX
National Provider Identifier
1801089503
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
M7476 Issued in TX
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

Updated by the provider on May 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
196884602MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081006000426 TX Practitioner - Family PracticePractitioner - Interventional Pain ManagementPractitioner - Sports MedicinePractitioner - Emergency Medicine 2567530496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Interventional Pain Management, Sports Medicine
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 PLLCGroup PAC ID 2668603952, 14 clinicians

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

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M7476TXMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Relief Group, PLLC Interventional Pain Medicine CurrentSince Mar 8, 2014 Accepting new patients
Texas Pain Relief Group PLLC Interventional Pain Medicine CurrentSince Mar 8, 2014 Accepting new patients
Texas Pain Relief Group PLLC Past Accepting new patients
Rush Creek Emergency Physicians PLLC PastSince Jan 19, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.