EAST TEXAS SPINE INSTITUTE, PA
NPI 1992985394
Physical Medicine & Rehabilitation in Tyler, TX
About East Texas Spine Institute, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST TEXAS SPINE INSTITUTE, PA (NPI 1992985394) is a healthcare organization registered as a physical medicine & rehabilitation in Tyler, Texas and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Ritesh R Prasad, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Texas Spine Institute, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to East Texas Spine Institute, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 45D2002141
East Texas Spine Institute · Tyler, TXFrequently 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 East Texas Spine Institute, PA's NPI number?
The NPI number for East Texas Spine Institute, PA is 1992985394. It was assigned to this organization in the NPPES registry on November 14, 2007.
Where is East Texas Spine Institute, PA located?
East Texas Spine Institute, PA is located at 3110 Park Center Dr, Tyler, TX 75701. The listed phone number is (903) 593-9999.
What is East Texas Spine Institute, PA's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is East Texas Spine Institute, PA enrolled in Medicare?
Yes. East Texas Spine Institute, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Texas Spine Institute, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to East Texas Spine Institute, PA, in Nurse Practitioner and Physical Medicine and Rehabilitation. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does East Texas Spine Institute, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2002141) is associated with this NPI, valid through January 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for East Texas Spine Institute, PA was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.