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SKYLINE MEDICAL PLLC
NPI 1760200216
Pain Medicine - Interventional Pain Medicine in Cedar Park, TX

Active since October 02, 2024CLIA 45D2316066 · Waiver
200 BUTTERCUP CREEK BLVD STE 115, CEDAR PARK, TX 78613(512) 777-1211(512) 777-1214 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Oct 11, 2024, Oct 2, 2024 (3 updates tracked since 2024).

About Skyline Medical Pllc NPPES

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

SKYLINE MEDICAL PLLC (NPI 1760200216) is a healthcare organization registered as an interventional pain medicine in Cedar Park, Texas and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists David Kim, Manager, as its authorized official.

NPPES Registry Identity

NPI1760200216
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSKYLINE MEDICAL PLLC
Location Address200 BUTTERCUP CREEK BLVD STE 115Cedar Park, TX 78613-3701
Mailing Address200 Buttercup Creek Blvd Ste 115Cedar Park, TX 78613-3701 · (512) 777-1211 · Fax (512) 777-1214
Phone(512) 777-1211
Fax(512) 777-1214
Organization SubpartNo
Authorized OfficialDavid KimManager · (512) 777-1211
Enumeration DateOctober 2, 2024
Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1760200216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
200 BUTTERCUP CREEK BLVD STE 115, Cedar Park, TX 78613
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D2316066

Skyline Medical PLLC · Cedar Park, TX
Active · expires Dec 26, 2026
CLIA Number45D2316066
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorDavid J. Kim
Laboratory Phone(512) 777-1211
Laboratory LocationSkyline Medical PLLC200 Buttercup Creek Blvd Ste 115, Cedar Park, TX 78613
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID J KIM MD
Pain Medicine (Interventional Pain Medicine)
200 BUTTERCUP CREEK BLVD STE 115
CEDAR PARK, TX 78613
Williamson County (512) 777-1211
SKYLINE PAIN PLLC
Pain Medicine (Interventional Pain Medicine)
200 BUTTERCUP CREEK BLVD STE 115
CEDAR PARK, TX 78613
Williamson County (512) 777-1211

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 Skyline Medical PLLC's NPI number?

The NPI number for Skyline Medical PLLC is 1760200216. It was assigned to this organization in the NPPES registry on October 2, 2024.

Where is Skyline Medical PLLC located?

Skyline Medical PLLC is located at 200 Buttercup Creek Blvd Ste 115, Cedar Park, TX 78613. The listed phone number is (512) 777-1211.

What is Skyline Medical PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Skyline Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2316066) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skyline Medical PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Skyline Medical PLLC 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 Skyline Medical PLLC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.