Unified Pain Management – Interventional Pain Medicine Physician, NPI 1508144999
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unified Pain Management
PO BOX 650444
DEPT 111
DALLAS, TX 752650444
Phone: (214) 820-7246
Type: Mailing
3600 GASTON AVE
STE 360
DALLAS, TX 752461800
Phone: (214) 820-7246
Type: Location
12222 N CENTRAL EXPY STE 340
DALLAS, TX 752433755
Phone: (972) 972-4851
Fax: (972) 556-5202
Type: Location
5858 Main St Ste 240
Frisco, TX 750334194
Phone: (817) 533-7080
Fax: (817) 533-7082
Type: Location
1451 Empire Central Dr Ste 800
Dallas, TX 752474088
Phone: (972) 765-1938
Type: Location
4343 N Josey Ln Ste 107
Carrollton, TX 750104603
Phone: (972) 528-7990
Fax: (972) 939-1800
Type: Location
12222 N CENTRAL EXPY STE 150
DALLAS, TX 752433827
Phone: (972) 972-4851
Fax: (972) 556-5202
Type: Location
2911 TURTLE CREEK BLVD STE 450
DALLAS, TX 752196290
Phone: (214) 559-9695
Fax: (214) 594-0379
Type: Mailing
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: 2012-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (952 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| O20120208000043 | O | Clinic/Group Practice | TX | 2023-10-31 |
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 75265)
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