Individual provider Active NPI

Dina F Eftimescu, MD

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
National Provider Identifier
1164400982
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K2203 Issued in TX
Practice address
5920 Saratoga Blvd
Number 360
Corpus Christi, TX 78414
Phone
(361) 500-4151
Fax
(361) 993-5331
NPI assigned
Jan 3, 2006
Last updated
Dec 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K2203 TX Primary

Addresses

Primary practice location

5920 Saratoga Blvd
Number 360
Corpus Christi, TX 78414

Mailing address

5920 Saratoga Blvd
Number 360
Corpus Christi, TX 78414
Phone (361) 500-4151

Other identifiers 1

IdentifierTypeStateIssuer
104968603MedicaidTX

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
I20041230000301 TX Practitioner - Obstetrics/Gynecology 2668430166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5920 Saratoga Blvd
Suite 360
Corpus Christi, TX 78414-4107
Phone (361) 500-4151

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K2203TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corpus Christi Womens Care Center, Inc Obstetrics & Gynecology CurrentSince Oct 1, 2010 Accepting new patients

Locations

5920 Saratoga Blvd
Ste 360
Corpus Christi, TX 78414
Phone (361) 500-4151

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1164400982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "address_2": "NUMBER 360",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78414",
            "telephone_number": "361-500-4151",
            "fax_number": "361-993-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "address_2": "NUMBER 360",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78414",
            "telephone_number": "361-500-4151",
            "fax_number": "361-993-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFTIMESCU",
        "first_name": "DINA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K2203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104968603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.