North Lakes Pain Consultants – Pain Medicine Physician, NPI 1235148172
Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for North Lakes Pain Consultants
PO BOX 621004
DALLAS, TX 752621004
Phone: (936) 756-3444
Fax: (936) 756-3452
Type: Mailing
503, Medical Center Boulevard, Conroe, Montgomery County, Texas, 77304, United States
STE 110
CONROE, TX 773042928
Phone: (936) 756-3444
Fax: (936) 756-3452
Type: Mailing
Medical Park Lane, Huntsville, Walker County, Texas, 77340, United States
STE B
HUNTSVILLE, TX 773404979
Phone: (936) 730-8833
Fax: (936) 730-8866
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2017-08-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-06-30 (23 days away).
Enrollment records
2
Earliest due date
2026-06-30
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 |
|---|---|---|---|---|
| O20070409000567 | O | Clinic/Group Practice | TX | 2026-06-30 |
| O20170817002448 | O | Physician - Interventional Pain Management | TX | 2026-10-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 75262)
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