Individual provider Active NPI

Eman Mina, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1235313016
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0981 Issued in TX
Practice address
18626 Hardy Oak Blvd
Suite 230
San Antonio, TX 78258-4210
Phone
(210) 497-7700
Fax
(210) 402-6815
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N0981 TX Primary

Addresses

Primary practice location

18626 Hardy Oak Blvd
Suite 230
San Antonio, TX 78258-4210

Mailing address

18626 Hardy Oak Blvd Ste 230
San Antonio, TX 78258-4219
Phone (210) 497-7700

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
I20090128000602 TX Practitioner - Family Practice 6103980636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18626 Hardy Oak Blvd
Suite 230
San Antonio, TX 78258-4219
Phone (210) 497-7700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eman Mina, M.D., P.a. Family Medicine CurrentSince Mar 8, 2010 Accepting new patients
Maged M. Mina, M.D. P.a. Current Accepting new patients

Locations

18626 Hardy Oak Blvd
Ste 230
San Antonio, TX 78258
Phone (210) 402-6561

1202 E Sonterra Blvd
Ste 303
San Antonio, TX 78258
Phone (210) 615-8927

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1235313016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD STE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584219",
            "telephone_number": "210-497-7700",
            "fax_number": "210-402-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD",
            "address_2": "SUITE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584210",
            "telephone_number": "210-497-7700",
            "fax_number": "210-402-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINA",
        "first_name": "EMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.