Individual provider Active NPI

Joshua T Shroll, MD, MPH

  • Interventional Pain Medicine Physician
  • San Antonio, TX
National Provider Identifier
1942524806
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
Q3439 Issued in TX
Practice address
110 Stone Oak Loop Ste 103
San Antonio, TX 78258
Phone
(210) 268-0129
Fax
(210) 497-8333
NPI assigned
Mar 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Q3439 TX
Anesthesiology Physician 207L00000X Q3439 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X Q3439 TX
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X Q3439 TX Primary

Addresses

Primary practice location

110 Stone Oak Loop Ste 103
San Antonio, TX 78258

Mailing address

19141 Stone Oak Pkwy Ste 104
San Antonio, TX 78258-3367
Phone (210) 268-0129

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tcpa@ppdxdirect.com Direct Tricity Pain Associates PA
Direct Messaging Address tcpa@ppdxdirect.com Direct Tricity Pain Associates PA

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
I20180509000959 TX Practitioner - Interventional Pain Management 0143536086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Associates PLLCGroup PAC ID 6204973894, 33 clinicians
Tricity Pain Associates, PAGroup PAC ID 9830359181, 19 clinicians

Practice addresses (Care Compare)

3800 S W S Young Dr
Suite 201
Killeen, TX 76542-3340
Phone (254) 245-9175

717 Generations Dr
Suite B
New Braunfels, TX 78130-0009
Phone (844) 789-7246

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tricity Pain Associates PA Specialist CurrentSince Oct 1, 2019 Accepting new patients
Tricity Pain Associates PA Interventional Pain Medicine CurrentSince Oct 1, 2019 Accepting new patients
Tricity Anesthesia Associates PLLC Single Specialty Past Accepting new patients

Locations

717 Generations Dr
Ste B
New Braunfels, TX 78130
Phone (830) 264-8189

861 Landa St
New Braunfels, TX 78130
Phone (210) 546-1460

110 Stone Oak Loop
Ste 103
San Antonio, TX 78258
Phone (210) 268-0156

19141 Stone Oak Pkwy
Ste 104
San Antonio, TX 78258
Phone (210) 756-5989

2600 SW Military Dr
Ste 207
San Antonio, TX 78224
Phone (210) 922-2960

18707 Hardy Oak Blvd
Ste 230
San Antonio, TX 78258
Phone (210) 494-2000

3338 Oakwell Ct
Ste 104
San Antonio, TX 78218
Phone (210) 946-6466

14800 San Pedro Ave
Ste 115
San Antonio, TX 78232
Phone (844) 384-5470

8627 Cinnamon Creek Dr
Bldg 100
San Antonio, TX 78240

Interoperability endpoints

  • Direct secure messaging: jshroll@tricitypain.emadirect.md
  • Direct secure messaging: tcpa@ppdxdirect.com

Organizations & group practices 4

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": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1942524806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19141 STONE OAK PKWY STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583367",
            "telephone_number": "210-268-0129",
            "fax_number": "210-497-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 STONE OAK LOOP STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-268-0129",
            "fax_number": "210-497-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROLL",
        "first_name": "JOSHUA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "Q3439",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q3439",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q3439",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "Q3439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcpa@ppdxdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Direct",
            "affiliationName": "Tricity Pain Associates PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "110 Stone Oak Loop Ste 103",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcpa@ppdxdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Direct",
            "affiliationName": "Tricity Pain Associates PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "717 Generations Dr Ste B",
            "city": "New Braunfels",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781300009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.