NPIMap

Individual provider Active NPI

Myrna Catalan De Asis, M.D.

  • Internal Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1043214406
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K4405 Issued in TX
Practice address
1819 Tenth St
Wichita Falls, TX 76301-5012
Phone
(940) 763-8077
Fax
(940) 763-8078
NPI assigned
Jun 13, 2005
Last updated
Oct 22, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K4405 TX Primary

Addresses

Primary practice location

1819 Tenth St
Wichita Falls, TX 76301-5012

Mailing address

PO Box 4710
Wichita Falls, TX 76308-0710
Phone (940) 763-8077

Other identifiers 1

IdentifierTypeStateIssuer
K4405OtherTXMEDICAL LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000971 TX Practitioner - Internal Medicine 5092839266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1819 10TH St
Wichita Falls, TX 76301-5012
Phone (940) 763-8077

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Myrna C de Asis MD PA Internal Medicine CurrentSince Sep 29, 2003 Accepting new patients

Locations

1819 10th St
Wichita Falls, TX 76301
Phone (940) 723-6870

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: mdeasis13648@unitedregional.medalliesdirect.net
  • Direct secure messaging: myrna.deasis@directaddress.net
  • Direct secure messaging: myrnadeasis@mcdamdpa.allscriptsdirect.net

Organizations & group practices 2

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 7

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1043214406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4710",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763080710",
            "telephone_number": "940-763-8077",
            "fax_number": "940-763-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 TENTH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015012",
            "telephone_number": "940-763-8077",
            "fax_number": "940-763-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ASIS",
        "first_name": "MYRNA",
        "middle_name": "CATALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "K4405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.