Active NPI
Cristy Mark Schade, M.D.
- Pain Medicine Physician
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- F1971
- Practice address
- 3865 Childress Ave Ste a
Mesquite, TX 75150-2808 - Phone
- (972) 681-7246
- NPI assigned
- Aug 19, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | F1971 | TX | |
| Interventional Pain Medicine Physician | 208VP0014X | F1971 | TX | |
| Pain Medicine Physician | 208VP0000X | F1971 | TX | Primary |
Addresses
Primary practice location
3865 Childress Ave Ste a
Mesquite, TX 75150-2808
Mailing address
PO Box 850069
Mesquite, TX 75185-0069
Phone (972) 270-0600
Other practice location 1
1645 N Town East Blvd
Suite 146
Mesquite, TX 75150-4146
Phone (972) 270-0600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097798503 | Medicaid | TX | |
| 097798504 | Medicaid | TX | |
| 097798502 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1971 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kikkeri International, PA | Current | Accepting new patients | |
| Mesquite Professional Anesthesia, PA | Anesthesiology | Current | Accepting new patients |
| Cristy M Schade MD PA | Past | Accepting new patients |
Locations
3865 Childress Ave
Mesquite, TX 75150
Phone (972) 528-6090
3865 Childress Ave
Ste A
Mesquite, TX 75150
Phone (469) 554-0213
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDGDAA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advanced Pain Solutions
- Pain Medicine (Anesthesiology) Physician
- Mesquite, TX
- NPI 1104937218
-
- Anesthesiology Physician
- Mesquite, TX
- NPI 1831209949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1841282290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850069",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751850069",
"telephone_number": "972-270-0600",
"fax_number": "972-270-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3865 CHILDRESS AVE STE A",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502808",
"telephone_number": "972-681-7246"
}
],
"practiceLocations": [
{
"address_1": "1645 N Town East Blvd",
"address_2": "Suite 146",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751504146",
"country_code": "US",
"telephone_number": "972-270-0600",
"fax_number": "972-270-0051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHADE",
"first_name": "CRISTY",
"middle_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "F1971",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "F1971",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "F1971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097798503",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097798504",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097798502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.