INTERVENTIONAL PAIN MANAGEMENT PHYSICIANS PA
NPI 1124247119
Pain Medicine - Interventional Pain Medicine in San Antonio, TX

NPI Status: Active since April 25, 2007

Contact Information

110 STONE OAK LOOP
SUITE 103
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 268-0129
Fax: (210) 497-8333

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • Accepts Insurance

About INTERVENTIONAL PAIN MANAGEMENT PHYSICIANS PA

This page provides the complete NPI Profile along with additional information for Interventional Pain Management Physicians Pa, a provider established in San Antonio, Texas operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1124247119 assigned on April 2007. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Interventional Pain Management Physicians Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Leslie Longoria (Credentialing Specialist)

NPI
1124247119
Provider Name
INTERVENTIONAL PAIN MANAGEMENT PHYSICIANS PA
Entity Type
Organization
Location Address
110 STONE OAK LOOP SUITE 103 SAN ANTONIO, TX 78258
Location Phone
(210) 268-0129
Location Fax
(210) 497-8333
Mailing Address
19141 STONE OAK PKWY STE 104 SAN ANTONIO, TX 78258
Mailing Phone
(210) 268-0129
Mailing Fax
(210) 497-8333
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2007
Last Update Date
04-01-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

J5738 (TX)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
  • Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LESLIE LONGORIA

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(210) 268-0129

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
080538401MEDICAID (05)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124247119
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144441412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 4 + 4 + 1 + 4 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1124247119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831595990TRICITY ANESTHESIA ASSOCIATES PLLC
Organization
Anesthesiology (Pain Medicine)110 STONE OAK LOOP SUITE 103
SAN ANTONIO, TX 78258
(210) 268-0129
1144214966 SRIDHAR VASIREDDY MD
Individual
Pain Medicine (Interventional Pain Medicine)110 STONE OAK LOOP SUITE 103
SAN ANTONIO, TX 78258
(210) 268-0129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124247119, enumerated in the NPI registry as an "organization" on April 25, 2007

The provider is located at 110 Stone Oak Loop Suite 103 San Antonio, Tx 78258 and the phone number is (210) 268-0129

This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine

The provider might be accepting Accepts: WellPoint, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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