21ST CENTURY PAIN MANAGEMENT PLLC – Anesthesiology Physician, NPI 1033750880
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for 21ST CENTURY PAIN MANAGEMENT PLLC
11605, Ivory Creek Drive, Shadow Creek Ranch, Pearland, Brazoria County, Texas, 77584, United States
PEARLAND, TX 775848223
Phone:
Type: Mailing
1628 CRABB RIVER RD
RICHMOND, TX 774695890
Phone: (832) 289-0529
Type: Location
11601 SHADOW CREEK PKWY
SUITE 111 BOX NUMBER 625
PEARLAND, TX 775847283
Phone: (832) 614-9845
Fax: (832) 644-9193
Type: Mailing
6534 GREATWOOD PKWY STE A
SUGAR LAND, TX 774797222
Phone: (832) 614-9845
Fax: (832) 644-9193
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (283 days ago).
Enrollment records
1
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20191205001274 | O | Clinic/Group Practice | TX | 2025-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77584)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.