Republic Pain and Anesthesia Consultants – Family Medicine Physician, NPI 1508030917
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Republic Pain and Anesthesia Consultants
8307, Knight Road, Houston, Harris County, Texas, 77054, United States
HOUSTON, TX 770543905
Phone: (713) 795-1184
Type: Mailing
East Freeway, Houston, Harris County, Texas, 77201, United States
HOUSTON, TX 770155710
Phone: (281) 984-8791
Type: Location
2436 S Interstate 35 E Ste 336
Denton, TX 762054900
Phone: (972) 572-5000
Type: Location
7502 Greenville Ave
Dallas, TX 752313802
Phone: (469) 221-6000
Fax: (469) 895-6352
Type: Location
4140 Southwest Fwy
Houston, TX 770277311
Phone: (713) 795-4884
Type: Location
7125 Marvin D Love Fwy Ste 107
Dallas, TX 752373111
Phone: (940) 484-7000
Type: Location
4200 TWELVE OAKS DR
HOUSTON, TX 770276812
Phone: (713) 795-4884
Fax: (713) 383-4446
Type: Location
1911 BAGBY ST
HOUSTON, TX 770028594
Phone: (713) 383-7147
Fax: (713) 383-1302
Type: Mailing
2124 Clinton Dr
Galena Park, TX 775472839
Phone: (713) 671-3367
Fax: (713) 671-3541
Type: Location
517 N Carrier Pkwy
Grand Prairie, TX 750505484
Phone: (469) 221-6000
Type: Location
1001 York Dr
DeSoto, TX 751152083
Phone: (972) 572-5000
Type: Location
12930 East Fwy
Houston, TX 770155710
Phone: (281) 984-8791
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: 2018-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (52 days away).
Enrollment records
2
Earliest due date
2026-07-31
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 |
|---|---|---|---|---|
| O20081114000422 | O | Clinic/Group Practice | TX | 2026-07-31 |
| O20180710001216 | O | Clinic/Group Practice | TX | TBD |
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 77054)
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