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SPINE INSTITUTE OF SOUTHEAST TEXAS
NPI 1649781907
Clinic/Center - Medical Specialty in Pearland, TX

Active since October 13, 2017
12234 SHADOW CREEK PKWY STE 100, PEARLAND, TX 77584(713) 987-7760(832) 288-5837 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2025, Oct 13, 2017 (2 updates tracked since 2017).

About Spine Institute Of Southeast Texas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINE INSTITUTE OF SOUTHEAST TEXAS (NPI 1649781907) is a healthcare organization registered as a medical specialty in Pearland, Texas and active in the NPI registry since October 2017. The organization lists Ashley L Small, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1649781907
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSPINE INSTITUTE OF SOUTHEAST TEXAS
Location Address12234 SHADOW CREEK PKWY STE 100Pearland, TX 77584-7330
Mailing Address12234 Shadow Creek Pkwy Ste 100Pearland, TX 77584-7330 · (713) 987-7760 · Fax (832) 288-5837
Phone(713) 987-7760
Fax(832) 288-5837
Organization SubpartNo
Authorized OfficialAshley L SmallPractice Manager · (713) 987-7760
Enumeration DateOctober 13, 2017
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1649781907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
12234 SHADOW CREEK PKWY STE 100, Pearland, TX 77584
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Other Names 1

Doing Business AsSpine Institute Of Southeast Texas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine Institute Of Southeast Texas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Spine Institute Of Southeast Texas, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Thomas Jones, MD
Orthopedic Surgery
NPI 1548457591
12234 SHADOW CREEK PKWY STE 100
Pearland, TX 77584
(713) 987-7760
✔ PECOS✔ Accepts MedicareSame address
Beverly Oguayo, FNP-C
Nurse Practitioner
NPI 1609430412
2200 NASA PKWY STE 250
Houston, TX 77058
(512) 937-3860
✔ PECOS✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spine Institute Of Southeast Texas's NPI number?

The NPI number for Spine Institute Of Southeast Texas is 1649781907. It was assigned to this organization in the NPPES registry on October 13, 2017.

Where is Spine Institute Of Southeast Texas located?

Spine Institute Of Southeast Texas is located at 12234 Shadow Creek Pkwy Ste 100, Pearland, TX 77584. The listed phone number is (713) 987-7760.

What is Spine Institute Of Southeast Texas's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Spine Institute Of Southeast Texas enrolled in Medicare?

Yes. Spine Institute Of Southeast Texas is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine Institute Of Southeast Texas?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Spine Institute Of Southeast Texas, in Nurse Practitioner and Orthopedic Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spine Institute Of Southeast Texas accept?

Health plans from WellPoint list Spine Institute Of Southeast Texas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spine Institute Of Southeast Texas was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.