Organization Active NPI

Skilled Pain Care Clinic PA

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
National Provider Identifier
1992034870
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
SKILLED PAIN CARE CLINIC PA
Practice address
2050 North Loop W Ste 135
Houston, TX 77018-8143
Phone
(832) 533-8872
Fax
(713) 380-2103
NPI assigned
Dec 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Mr. Syed Mohammad Nasir, M.D.NPI 1376697045
Title
MD
Phone
(832) 533-8872

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 (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

2050 North Loop W Ste 135
Houston, TX 77018-8143

Mailing address

2050 North Loop W Ste 135
Houston, TX 77018-8143
Phone (832) 533-8872

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100302000913 TX Part B Supplier - Clinic/Group Practice 9335284389 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX; Houston, 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
45D2063742Skilled Pain Care Clinic, PA2050 North Loop West, Suite #135, Houston, TX 77018Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

2050 North Loop W
Houston, TX 77018
Phone (713) 688-3454

2840 Commercial Center Blvd
Ste 104
Katy, TX 77494
Phone (513) 505-9644

Practitioners & affiliated clinicians

Practitioners 1

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": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1992034870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 NORTH LOOP W STE 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188143",
            "telephone_number": "832-533-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 NORTH LOOP W STE 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188143",
            "telephone_number": "832-533-8872",
            "fax_number": "713-380-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED PAIN CARE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "NASIR",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "832-533-8872",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.