INTERVENTIONAL SPINE AND PAIN, LLP – Durable Medical Equipment & Medical Supplies, NPI 1376066126
Durable Medical Equipment & Medical Supplies
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for INTERVENTIONAL SPINE AND PAIN, LLP
Merit Drive, Dallas, Dallas County, Texas, 75251, United States
DALLAS, TX 752513222
Phone: (214) 506-2612
Fax: (972) 681-8727
Type: Mailing
17051 DALLAS PKWY STE 300
ADDISON, TX 750017105
Phone: (214) 888-3900
Fax: (214) 888-3901
Type: Mailing
Dallas Parkway, Addison, Dallas County, Texas, 75001:75287, United States
SUITE 300
ADDISON, TX 75001
Phone: (214) 888-3900
Fax: (214) 888-3901
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: 2018-09-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (143 days away).
Enrollment records
1
Earliest due date
2026-10-31
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 |
|---|---|---|---|---|
| O20180917000359 | O | Multi-Specialty - Physician | TX | 2026-10-31 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 75251)
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