Individual provider Active NPI

Imtiaz A Mehkri, M.D., P.A.

  • Ophthalmology Physician
  • Edinburg, TX
National Provider Identifier
1104822246
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K6650 Issued in TX
Practice address
510 S Closner Blvd
Edinburg, TX 78539-4660
Phone
(956) 386-1122
Fax
(956) 386-1133
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K6650 TX Primary

Addresses

Primary practice location

510 S Closner Blvd
Edinburg, TX 78539-4660

Mailing address

510 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 386-1122

Other identifiers 2

IdentifierTypeStateIssuer
8AJ889OtherTXBCBS OF TEXAS
096460304MedicaidTX

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
I20110728000528 TX Practitioner - Ophthalmology 9335317817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

510 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 386-1122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6650TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imtiaz a. Mehkri, M.D., P.a. Ophthalmology CurrentSince Feb 19, 2003 Accepting new patients

Locations

510 S Closner Blvd
Edinburg, TX 78539
Phone (956) 386-1122

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1104822246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-386-1122",
            "fax_number": "956-386-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-386-1122",
            "fax_number": "956-386-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHKRI",
        "first_name": "IMTIAZ",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K6650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8AJ889",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096460304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.