Individual provider Active NPI

Christina Itata, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jersey Village, TX
National Provider Identifier
1871932061
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
R8382 Issued in TX
Practice address
20320 Northwest Fwy Ste 400
Jersey Village, TX 77065-5643
Phone
(832) 299-4843
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X R8382 TX Primary

Addresses

Primary practice location

20320 Northwest Fwy Ste 400
Jersey Village, TX 77065-5643

Mailing address

20320 Northwest Fwy Ste 400
Jersey Village, TX 77065-5643

Other practice location 1

1006 Windsor Lakes Blvd Ste 150
Conroe, TX 77384-4975
Phone (346) 260-5112

Other identifiers 1

IdentifierTypeStateIssuer
1871932061OtherINDIVIDUAL

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
I20180921002188 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 5597016071 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial MRI and Diagnostic LLCGroup PAC ID 6507859568, 77 clinicians
Chrisud LLCGroup PAC ID 4688059173, 4 clinicians

Practice addresses (Care Compare)

12840 Hillcrest Plaza Dr
Suite E100
Dallas, TX 75230-6569
Phone (214) 341-8770

20320 Northwest Fwy
Suite 400
Jersey Village, TX 77065-5643
Phone (346) 260-5112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8382TXMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healwell Healthcare Solutions, PLLC CurrentSince Oct 1, 2024 Accepting new patients
North Houston Concierge and Home Healthcare PLLC Current Accepting new patients
North Houston Concierge and Home Healthcare PLLC Current Accepting new patients
Chrisud LLC Pain Medicine CurrentSince Jul 30, 2022 Accepting new patients
Advanced Surgeons & Physicians Network, Inc. CurrentSince Jan 8, 2024 Accepting new patients

Locations

2802 Garth Rd
Ste 107
Baytown, TX 77521
Phone (281) 425-9200

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

4200 Twelve Oaks Dr
Fl 3
Houston, TX 77027

4200 Twelve Oaks Dr
Fl Third
Houston, TX 77027

10490 Huffmeister Rd
Ste B
Houston, TX 77065
Phone (346) 206-4333

20320 Northwest Fwy
Ste 400
Jersey Village, TX 77065
Phone (281) 469-1536

1006 Windsor Lakes Blvd
Ste 150
The Woodlands, TX 77384
Phone (281) 292-7246

Interoperability endpoints

  • Direct secure messaging: christina.itata.1@13131.direct.athenahealth.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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1871932061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 400",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 400",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655643",
            "telephone_number": "832-299-4843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Windsor Lakes Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773844975",
            "country_code": "US",
            "telephone_number": "346-260-5112",
            "fax_number": "832-376-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITATA",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "R8382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1871932061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Village, TX

Sources for this page

Verify at the official NPI Registry.