NPIMap

Organization Active NPI

Elite Pain Management and Monitoring

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1912458233
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1232 Issued in TX
Legal business name
ELITE PAIN MANAGEMENT AND MONITORING
Practice address
6805 NE Loop 820
Suite 408
Fort Worth, TX 76180-6687
Phone
(817) 581-7246
Fax
(817) 581-7248
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Dr. Alok Kushwaha, MD
Title
Physician
Phone
(817) 581-7246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X K1232 TX Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Q1455 TX

Addresses

Primary practice location

6805 NE Loop 820
Suite 408
Fort Worth, TX 76180-6687

Mailing address

6805 NE Loop 820
Suite 408
Fort Worth, TX 76180-6687
Phone (817) 581-7246

Other identifiers 1

IdentifierTypeStateIssuer
159213103MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Elite Pain Management and Monitoring2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1912458233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 NE LOOP 820",
            "address_2": "SUITE 408",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761806687",
            "telephone_number": "817-581-7246",
            "fax_number": "817-581-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 NE LOOP 820",
            "address_2": "SUITE 408",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761806687",
            "telephone_number": "817-581-7246",
            "fax_number": "817-581-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PAIN MANAGEMENT AND MONITORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "KUSHWAHA",
        "authorized_official_first_name": "ALOK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-581-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1232",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "Q1455",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159213103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.