NPIMap

M Reza Mizani MD PA

A Medicare group practice based in San Antonio, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5294709689), with 29 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5294709689The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
2
Group size
28 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 7 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040823000238 TX Part B Supplier - Clinic/Group Practice 1275503393
O20171018000115 TX Part B Supplier - Ambulatory Surgical Center 1740700111

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 29

Clinicians who reassign their Medicare benefits to this group (29) or whom Care Compare lists as members (28).

Sources for this page