Organization Active NPI

Nexus Pain Care PLLC

  • Interventional Pain Medicine Physician
  • Rockwall, TX
National Provider Identifier
1912586579
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
NEXUS PAIN CARE PLLC
Practice address
1160 Horizon Rd
Rockwall, TX 75032-5498
Phone
(972) 498-1100
Fax
(972) 498-1300
NPI assigned
Apr 2, 2021
Last updated
Nov 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Dr. Ahmed Basem Abdel Rahman, MDNPI 1316972698
Title
Pain Management Physician
Phone
(817) 513-3409

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
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1160 Horizon Rd
Rockwall, TX 75032-5498

Mailing address

1160 Horizon Rd
Rockwall, TX 75032-5498
Phone (972) 498-1100

Other identifiers 1

IdentifierTypeStateIssuer
1316972698OtherTXNPI

Other names 1

  • NEXUS PAIN CARE Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221007000847 TX Part B Supplier - Clinic/Group Practice 9032595459 Receives reassigned benefits from 1 practitioner
Practice locations: Rockwall, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2268145Nexus Pain Care, PLLC1160 Horizon Rd, Rockwall, TX 75032Certificate of waiverSep 6, 2026

National Provider Directory

National Provider Directory

Locations

1160 Horizon Rd
Rockwall, TX 75032
Phone (972) 498-1100

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1912586579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 HORIZON RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325498",
            "telephone_number": "972-498-1100",
            "fax_number": "972-498-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 HORIZON RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325498",
            "telephone_number": "972-498-1100",
            "fax_number": "972-498-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS PAIN CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "ABDEL RAHMAN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "BASEM",
        "authorized_official_title_or_position": "PAIN MANAGEMENT PHYSICIAN",
        "authorized_official_telephone_number": "817-513-3409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316972698",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEXUS PAIN CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.