Erik Nisimblat, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K4758 Issued in TX

Practice address

305 E 3Rd St
Alice, TX 78332

Phone

(361) 664-5291

Fax

(361) 668-1630

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• William Nisimblat Mdpa

  • Pediatrics Physician
  • Alice, TX
  • NPI 1477646271

  5% Or Greater Direct Ownership Interest, Corporate Officer

  CMS ownership

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

• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Alice, TX
  • NPI 1003885641
  NPD (past)
• William Nisimblat Mdpa

  • Pediatrics Physician
  • Alice, TX
  • NPI 1477646271

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1083707012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BPX 289",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "78333",
            "telephone_number": "361-664-5291",
            "fax_number": "361-668-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 3RD ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "78332",
            "telephone_number": "361-664-5291",
            "fax_number": "361-668-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISIMBLAT",
        "first_name": "ERIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K4758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092468001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH STEPS",
            "identifier": "0924680-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Yvette Munoz, SLP
• Jenna Alexis Navarro
• Cheukhung A NG, DDS
• Joseph Reese Nicolini, D.O., PH.D.
• Annette Nieto
• William Nisimblat, MD
• David Ochoa
• Denise Oliveira
• Orange Grove Adult Day Care Inc
• Sandra Ortiz-del Fierro, LPC

• All providers in Alice, TX
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.