Star Pain & Spine LLC
NPI 1154830289ActiveOrganization· Physical Medicine & Rehabilitation, Pain Medicine· Carrollton, TX
Physical Medicine & Rehabilitation, Pain Medicine in Carrollton, Texas, registered in NPPES in September 2017. The authorized official on file is Gonzalo Gonzales, D.O., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154830289 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2017 |
| Last updated in NPPES | Jan 21, 2026 |
| Certified by provider | Jan 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Pain Medicine Primary | 2081P2900X | N6319 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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