Individual provider Active NPI

Jeremy Michael Epstein, MD

  • Interventional Pain Medicine Physician
  • Carrollton, TX
National Provider Identifier
1831533058
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
R6182 Issued in TX
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

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R6182 TX
Anesthesiology Physician 207L00000X R6182 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X R6182 TX
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 2668603952, 14 clinicians

Practice addresses (Care Compare)

407 W Danieldale Rd
Suite 100
Duncanville, TX 75137-3927
Phone (469) 528-6580

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
R6182TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Relief Group, PLLC Single Specialty CurrentSince Apr 12, 2021 Accepting new patients
Texas Pain Relief Group PLLC Single Specialty CurrentSince Apr 12, 2021 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.

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

Verify at the official NPI Registry.