Individual provider Active NPI

Miraf Hailu

  • Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1205782927
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1228757 Issued in TX
Practice address
1411 Medical Pkwy
Cedar Park, TX 78613-2695
Phone
(512) 341-0900
NPI assigned
Mar 5, 2026
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1228757 TX Primary

Addresses

Primary practice location

1411 Medical Pkwy
Cedar Park, TX 78613-2695

Mailing address

1411 Medical Pkwy Ste 200
Cedar Park, TX 78613-2778
Phone (512) 341-0900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318004291 TX Practitioner - Nurse Practitioner 3072097989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1411 Medical Pkwy
Suite 200
Cedar Park, TX 78613-2778
Phone (512) 341-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1228757TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants PLLC CurrentSince Apr 1, 2026 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Apr 1, 2026 Accepting new patients

Locations

1411 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 551-3490

Organizations & group practices 3

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": "1772668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1205782927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 MEDICAL PKWY STE 200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132778",
            "telephone_number": "512-341-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MEDICAL PKWY",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132695",
            "telephone_number": "512-341-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILU",
        "first_name": "MIRAF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1228757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.