NPIMap

Organization Active NPI

Sterling Pain Medicine, P.a.

  • Pain Medicine (Anesthesiology) Physician
  • Plano, TX
National Provider Identifier
1871827808
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
K8450 Issued in TX
Legal business name
STERLING PAIN MEDICINE, P.A.
Practice address
4708 Alliance Blvd Ste 850
Plano, TX 75093-5343
Phone
(469) 814-5960
NPI assigned
Sep 23, 2009
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Radhika Ravula, M.D.NPI 1750368445
Title
Member
Phone
(469) 814-5960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X K8450 TX Primary

Addresses

Primary practice location

4708 Alliance Blvd Ste 850
Plano, TX 75093-5343

Mailing address

4708 Alliance Blvd Ste 850
Plano, TX 75093-5343
Phone (469) 814-5960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110613000664 TX Part B Supplier - Clinic/Group Practice 1456538867 Receives reassigned benefits from 15 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

11700 Preston Rd
Ste 660529
Dallas, TX 75230

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1871827808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 850",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935343",
            "telephone_number": "469-814-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 850",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935343",
            "telephone_number": "469-814-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING PAIN MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "RAVULA",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "469-814-5960",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "K8450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.