AXIS BRAIN AND BACK INSTITUTE PLLC
NPI 1689085193
Neurological Surgery in Southlake, TX
About Axis Brain And Back Institute Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AXIS BRAIN AND BACK INSTITUTE PLLC (NPI 1689085193) is a healthcare organization registered as a neurological surgery in Southlake, Texas and active in the NPI registry since May 2014. The organization maintains 3 additional practice locations and lists Saeid Esmaeily Aryan, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 3
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Axis Brain And Back Institute Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Axis Brain And Back Institute PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Southlake, TX 76092
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 Axis Brain And Back Institute PLLC's NPI number?
The NPI number for Axis Brain And Back Institute PLLC is 1689085193. It was assigned to this organization in the NPPES registry on May 19, 2014.
Where is Axis Brain And Back Institute PLLC located?
Axis Brain And Back Institute PLLC is located at 1110 E State Highway 114 Ste 100, Southlake, TX 76092. The listed phone number is (817) 502-7411.
What is Axis Brain And Back Institute PLLC's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Axis Brain And Back Institute PLLC enrolled in Medicare?
Yes. Axis Brain And Back Institute PLLC is registered in the Medicare PECOS enrollment system.
When is Axis Brain And Back Institute PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Texas, Physician - Neurosurgery) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Axis Brain And Back Institute PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Axis Brain And Back Institute PLLC. 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. The largest specialties are Physical Therapist in Private Practice (3), Neurosurgery (2) and Nurse Practitioner (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Axis Brain And Back Institute PLLC was last updated on August 28, 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.
# Axis Brain And Back Institute Pllc · NPI 1689085193
Neurological Surgery organization in Southlake, Texas. Organization record, active in the CMS NPPES registry since May 19, 2014.
## Identity
- **NPI:** 1689085193 (Entity type: Organization)
- **Enumerated:** May 19, 2014
- **Primary specialty:** Neurological Surgery · taxonomy 207T00000X
- **Organization subpart:** No
- **Authorized official:** Saeid Aryan, OWNER/PRESIDENT
## Practice location
- **Address:** 1110 E STATE HIGHWAY 114 STE 100, Southlake, TX 76092-5251
- **Phone:** (817) 502-7411 · **Fax:** (817) 502-7412
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (DME, Texas, Physician - Neurosurgery) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (3), Neurosurgery (2), Nurse Practitioner (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2025
- **Other identifiers:** Other 00E4E2 (TX); Other 7273750001
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Source: [NPI Profile](https://npiprofile.com/npi/1689085193) · Data from the CMS NPPES public registry.