360 Pain and Spine PLLC
NPI 1821611153ActiveOrganization· Anesthesiology, Pain Medicine· Richardson, TX
Anesthesiology, Pain Medicine in Richardson, Texas, registered in NPPES in May 2020. The authorized official on file is Obaid Malik, MD, Director. Enrolled in Medicare as dme supplier - physician - interventional pain management and part b supplier - clinic/group practice.
Overview
| NPI | 1821611153 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2020 |
| Last updated in NPPES | Aug 18, 2022 |
| Certified by provider | Aug 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pain Medicine Primary | 207LP2900X | — | — |
| Anesthesiology | 207L00000X | — | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — | — |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | — | — |
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 DME Supplier - Physician - Interventional Pain Management (TX); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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