Individual provider Active NPI

Roque Masaharu Mifuji Lira, MD

  • Internal Medicine Physician
  • McAllen, TX
National Provider Identifier
1023678349
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T6649 Issued in TX
Practice address
801 E Nolana Ave Ste 2
McAllen, TX 78504-6113
Phone
(956) 362-8860
Fax
(956) 362-8865
NPI assigned
Jun 18, 2019
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X T6649 TX Primary

Addresses

Primary practice location

801 E Nolana Ave Ste 2
McAllen, TX 78504-6113

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-8860

Other practice location 1

205 E Toronto Ave
McAllen, TX 78503-1209
Phone (956) 296-3990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613001299 TX Practitioner - Internal Medicine 7517345093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

801 E Nolana Ave
Suite 2
McAllen, TX 78504-6113
Phone (956) 362-8860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
72.49
Promoting interoperability
94
Improvement activities
40
Cost
68.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Sep 1, 2024 Accepting new patients
Renaissance Medical Foundation Internal Medicine CurrentSince Apr 7, 2025 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2024 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Doctors Hospital at Renaissance, LTD PastSince Apr 7, 2025 Accepting new patients
Knapp Medical Center Past Accepting new patients

Locations

5423 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3575

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000

1000 E Dove Ave
Ste 201
McAllen, TX 78504
Phone (956) 362-3505

801 E Nolana Ave
Ste 2
McAllen, TX 78504
Phone (956) 362-8860

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1023678349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-8860",
            "fax_number": "956-362-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE STE 2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046113",
            "telephone_number": "956-362-8860",
            "fax_number": "956-362-8865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E Toronto Ave",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785031209",
            "country_code": "US",
            "telephone_number": "956-296-3990",
            "fax_number": "956-665-6837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIFUJI LIRA",
        "first_name": "ROQUE",
        "middle_name": "MASAHARU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T6649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.