Organization Active NPI

Medcare Imaging PLLC

  • Internal Medicine Physician
  • Castroville, TX
National Provider Identifier
1164879961
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDCARE IMAGING PLLC
Practice address
1051 US Highway 90 E
Castroville, TX 78009-5210
Phone
(830) 931-3336
NPI assigned
May 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Saleh Jaafar, MDNPI 1679564587
Title
Owner
Phone
(830) 931-3336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1051 US Highway 90 E
Castroville, TX 78009-5210

Mailing address

1051 US Highway 90 E
Castroville, TX 78009-5210
Phone (830) 931-3336

Other identifiers 1

IdentifierTypeStateIssuer
364589701MedicaidTX

National Provider Directory

National Provider Directory

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": "1463788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1164879961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 US HIGHWAY 90 E",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780095210",
            "telephone_number": "830-931-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 US HIGHWAY 90 E",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780095210",
            "telephone_number": "830-931-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-21",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "JAAFAR",
        "authorized_official_first_name": "SALEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-931-3336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364589701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castroville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.