Michelle M. Mizrachi, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

N5253 Issued in TX

Practice address

7200 N State Hwy 161
Suite 220
Irving, TX 75039

Phone

(214) 689-7806

Fax

(214) 689-5970

NPI assigned

Sep 12, 2007

Last updated

Oct 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1184819229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 N STATE HWY 161",
            "address_2": "SUITE 220",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75039",
            "telephone_number": "214-689-7806",
            "fax_number": "214-689-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 N STATE HWY 161",
            "address_2": "SUITE 220",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75039",
            "telephone_number": "214-689-7806",
            "fax_number": "214-689-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRACHI",
        "first_name": "MICHELLE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN8192",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "N5253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218195001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Irving, TX
• Providers in Irving, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.