INVICTA HEALTHCARE PLLC – Pain Medicine (Psychiatry & Neurology) Physician, NPI 1740635143
Pain Medicine (Psychiatry & Neurology) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for INVICTA HEALTHCARE PLLC
771 E Southlake Blvd Ste 101
Southlake, TX 760921483
Phone: (817) 381-9650
Fax: (817) 585-5836
Type: Location
1011 Roberts Cutoff Rd
River Oaks, TX 761142814
Phone: (817) 381-9650
Type: Location
2008 E Hebron Pkwy Ste 100
Carrollton, TX 750071601
Phone: (817) 381-9650
Type: Location
771 E SOUTHLAKE BLVD STE 101
SOUTHLAKE, TX 760921483
Phone: (216) 469-5516
Type: Mailing
9545 N BEACH ST STE 101
FORT WORTH, TX 762446470
Phone: (817) 381-9650
Fax: (817) 585-5836
Type: Location
926, Independence Parkway, Monticello Estates, Southlake, Tarrant County, Texas, 76092, United States
SOUTHLAKE, TX 760928484
Phone: (216) 469-5516
Type: Mailing
101, East Southlake Boulevard, Park Village, Southlake, Tarrant County, Texas, 76092, United States
SOUTHLAKE, TX 760921483
Phone: (817) 381-9650
Fax: (817) 585-5836
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: 2019-04-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (709 days ago).
Enrollment records
1
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20190408000130 | O | Clinic/Group Practice | TX | 2024-06-30 |
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 76092)
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.