ST JUDE MEDICAL CONSULTANTS PLLC – Interventional Pain Medicine Physician, NPI 1982264339
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ST JUDE MEDICAL CONSULTANTS PLLC
PO BOX 250907
PLANO, TX 750250907
Phone: (346) 272-0025
Fax: (972) 432-6692
Type: Mailing
400 STONEBROOK PKWY STE 1104-166
FRISCO, TX 750361179
Phone: (214) 390-7697
Fax: (972) 432-6692
Type: Mailing
3786 FM 1488 RD STE 160
CONROE, TX 773844987
Phone: (346) 272-0026
Fax: (281) 781-2540
Type: Location
Kuykendahl Road, Sterling Ridge, The Woodlands, Montgomery County, Texas, 77382, United States
THE WOODLANDS, TX 773822935
Phone: (773) 454-9222
Type: Location
10857 Kuykendahl Rd Ste 120B
The Woodlands, TX 773822935
Phone: (773) 454-9222
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: 2019-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (288 days ago).
Enrollment records
1
Earliest due date
2025-08-31
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 |
|---|---|---|---|---|
| O20191119002501 | O | Clinic/Group Practice | TX | 2025-08-31 |
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 75025)
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