NPIMap

Organization Active NPI

Modern Pain Management PLLC

  • Pain Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1952993560
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
MODERN PAIN MANAGEMENT PLLC
Practice address
12930 Dairy Ashford Rd Ste 501
Sugar Land, TX 77478-4667
Phone
(713) 298-0120
NPI assigned
Feb 4, 2021
Organization subpart
Yes
Parent organization
MODERN PAIN MANAGEMENT, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
George Michel AtallahNPI 1093940694
Title
President
Phone
(713) 298-0120

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

12930 Dairy Ashford Rd Ste 501
Sugar Land, TX 77478-4667

Mailing address

902 Frostwood Dr Ste 235
Houston, TX 77024-2417
Phone (713) 298-0120

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
45D2164445Modern Pain Management, PLLC12930 Dairy Ashford Drive Unit 501, Sugar Land, TX 77478Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory
Part of
Modern Pain Management PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1952993560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 235",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242417",
            "telephone_number": "713-298-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 DAIRY ASHFORD RD STE 501",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784667",
            "telephone_number": "713-298-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PAIN MANAGEMENT PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MODERN PAIN MANAGEMENT, PLLC",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "ATALLAH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-298-0120"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.