DELTA SPINE AND PAIN CLINIC PA
NPI 1740645787
Anesthesiology - Pain Medicine in Houston, TX

Active since December 17, 2015CLIA 45D2105904 · Waiver
12000 RICHMOND AVE STE 270, HOUSTON, TX 77082(281) 741-3243(281) 741-8763 Get Directions Write a Review

NPPES record last updated: December 31, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 31, 2015, Dec 17, 2015 (2 updates tracked since 2015).

About Delta Spine And Pain Clinic Pa NPPES

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

DELTA SPINE AND PAIN CLINIC PA (NPI 1740645787) is a healthcare organization registered as a pain medicine in Houston, Texas and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Johnson Ukpede, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1740645787
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameDELTA SPINE AND PAIN CLINIC PA
Location Address12000 RICHMOND AVE STE 270Houston, TX 77082-2431
Mailing Address12000 Richmond Ave Ste 270Houston, TX 77082-2431 · (281) 741-3243 · Fax (281) 741-8763
Fax(281) 741-8763
Organization SubpartNo
Authorized OfficialJohnson UkpedePhysician/owner · (281) 741-3243
Enumeration DateDecember 17, 2015
Last NPPES UpdateDecember 31, 20152 updates tracked since enumeration
✔ NPI 1740645787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in TX · N4814
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
12000 RICHMOND AVE STE 270, Houston, TX 77082

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Delta Spine And Pain Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Delta Spine And Pain Clinic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anesthesiology
NPI 1760704068
12000 RICHMOND AVE SUITE 270
Houston, TX 77082
(281) 741-3243
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2105904

Johnson A Ukpede Dba Delta Spine & Pain Clinic · Houston, TX
Active · expires Dec 6, 2027
CLIA Number45D2105904
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorJohnson A. Ukpede
Laboratory Phone(281) 741-3243
Laboratory LocationJohnson A Ukpede Dba Delta Spine & Pain Clinic12000 Richmond Ave, Suite 270, Houston, TX 77082
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Delta Spine And Pain Clinic PA's NPI number?

The NPI number for Delta Spine And Pain Clinic PA is 1740645787. It was assigned to this organization in the NPPES registry on December 17, 2015.

Where is Delta Spine And Pain Clinic PA located?

Delta Spine And Pain Clinic PA is located at 12000 Richmond Ave Ste 270, Houston, TX 77082. The listed phone number is (281) 741-3243.

What is Delta Spine And Pain Clinic PA's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Delta Spine And Pain Clinic PA enrolled in Medicare?

Yes. Delta Spine And Pain Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Delta Spine And Pain Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Delta Spine And Pain Clinic PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Delta Spine And Pain Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2105904) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Delta Spine And Pain Clinic PA was last updated on December 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.