Active NPI
Jeremy Michael Epstein, MD
- Interventional Pain Medicine Physician
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- R6182
- Practice address
- 4325 N Josey LN
Plaza III, Suite 206
Carrollton, TX 75010 - Phone
- (844) 789-7246
- Fax
- (210) 497-8333
- NPI assigned
- Apr 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R6182 | TX | |
| Anesthesiology Physician | 207L00000X | R6182 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | R6182 | TX | |
| Interventional Pain Medicine Physician | 208VP0014X | R6182 | TX | Primary |
Addresses
Primary practice location
4325 N Josey LN
Plaza III, Suite 206
Carrollton, TX 75010
Mailing address
19141 Stone Oak Pkwy Ste 104
San Antonio, TX 78258-3367
Phone (210) 268-0129
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 |
|---|---|---|---|---|
| I20180328000837 | TX | Practitioner - Interventional Pain Management | 4385906551 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Virginia Commonwealth Univ School of Dentistry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Pain Relief Group PLLC
Practice addresses (Care Compare)
407 W Danieldale Rd
Suite 100
Duncanville, TX 75137-3927
Phone (469) 528-6580
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 |
|---|---|---|---|
| R6182 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Pain Relief Group, PLLC | Single Specialty | Current | Accepting new patients |
| Texas Pain Relief Group PLLC | Single Specialty | Current | Accepting new patients |
| Tricity Anesthesia Associates PLLC | Single Specialty | Past | Accepting new patients |
Locations
1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990
2730 Virginia Pkwy
Ste 300
McKinney, TX 75071
Phone (469) 298-1486
Organizations & group practices 3
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
Single Specialty, TX
-
- Interventional Pain Medicine Physician
- Tampa, FL
- NPI 1487028387
Single Specialty
-
- Pain Medicine (Anesthesiology) Physician
- San Antonio, TX
- NPI 1831595990
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1831533058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19141 STONE OAK PKWY STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583367",
"telephone_number": "210-268-0129",
"fax_number": "210-497-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 N JOSEY LN",
"address_2": "PLAZA III, SUITE 206",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "75010",
"telephone_number": "844-789-7246",
"fax_number": "210-497-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSTEIN",
"first_name": "JEREMY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-18",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "R6182",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "R6182",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "R6182",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "R6182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.