Organization Active NPI

Mauricio Giraldo MD PA

  • Specialist
  • Frisco, TX
National Provider Identifier
1114116415
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L9700 Issued in TX
Legal business name
MAURICIO GIRALDO MD PA
Practice address
3110 W Main St
Suite 150
Frisco, TX 75033-4599
Phone
(469) 362-8665
Fax
(469) 362-8085
NPI assigned
Oct 23, 2007
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Mauricio Giraldo, M.D.NPI 1649277906
Title
Physician
Phone
(469) 362-8665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L9700 TX Primary

Addresses

Primary practice location

3110 W Main St
Suite 150
Frisco, TX 75033-4599

Mailing address

3110 W Main St
150
Frisco, TX 75033-4599
Phone (469) 362-8665

Other identifiers 1

IdentifierTypeStateIssuer
175319601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323000557 TX Part B Supplier - Clinic/Group Practice 1254387277 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

3110 Main St
Ste 150
Frisco, TX 75033
Phone (469) 362-8665

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1114116415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 W MAIN ST",
            "address_2": "150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334599",
            "telephone_number": "469-362-8665",
            "fax_number": "469-362-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 W MAIN ST",
            "address_2": "SUITE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334599",
            "telephone_number": "469-362-8665",
            "fax_number": "469-362-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICIO GIRALDO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "GIRALDO",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "469-362-8665",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L9700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175319601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.