NPIMap

Organization Active NPI

Premier Interventional Pain Management, P.L.L.C

  • Interventional Pain Medicine Physician
  • San Antonio, TX
National Provider Identifier
1982178794
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PREMIER INTERVENTIONAL PAIN MANAGEMENT, P.L.L.C
Practice address
8235 S New Braunfels Ste 211
San Antonio, TX 78235-4439
Phone
(210) 634-1232
Fax
(210) 634-1243
NPI assigned
Jan 15, 2019
Last updated
Jan 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Abdul Ahad Hayee, MDNPI 1326229303
Title
Co-Owner
Phone
(972) 350-0225

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 Physician 208VP0014X Primary

Addresses

Primary practice location

8235 S New Braunfels Ste 211
San Antonio, TX 78235-4439

Mailing address

2321 Olympia Dr Ste 100a
Flower Mound, TX 75028-1856

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211025002004 TX DME Supplier - Physician - Interventional Pain Management 7012043961 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Premier Interventional Pain Management PLLC2 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.

Locations

2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225

990 S Sherman St
Richardson, TX 75081
Phone (972) 788-0350

2130 NE Loop 410
Ste 375
San Antonio, TX 78217
Phone (210) 634-1232

8235 S New Braunfels
Ste 211
San Antonio, TX 78235
Phone (210) 634-1232

2913 Overland Trl
Apt 100
Sherman, TX 75092
Phone (903) 771-0873

300 S Nolen Dr
Ste 140
Southlake, TX 76092
Phone (817) 488-0410

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1982178794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 OLYMPIA DR STE 100A",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 S NEW BRAUNFELS STE 211",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782354439",
            "telephone_number": "210-634-1232",
            "fax_number": "210-634-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERVENTIONAL PAIN MANAGEMENT, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "HAYEE",
        "authorized_official_first_name": "ABDUL AHAD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "972-350-0225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.