Individual provider Active NPI

Ralph Nimchan, MD

  • Specialist
  • Laredo, TX
National Provider Identifier
1245211754
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E3075 Issued in TX
Practice address
6801 McPherson Ave
Suite 226
Laredo, TX 78041-6402
Phone
(956) 723-0462
Fax
(956) 723-6547
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E3075 TX Primary

Addresses

Primary practice location

6801 McPherson Ave
Suite 226
Laredo, TX 78041-6402

Mailing address

6801 McPherson Ave
Suite 226
Laredo, TX 78041-6402
Phone (956) 723-0462

Other identifiers 1

IdentifierTypeStateIssuer
099912002MedicaidTX

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
I20100922000344 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8123144672

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1245211754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MCPHERSON AVE",
            "address_2": "SUITE 226",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416402",
            "telephone_number": "956-723-0462",
            "fax_number": "956-723-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MCPHERSON AVE",
            "address_2": "SUITE 226",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416402",
            "telephone_number": "956-723-0462",
            "fax_number": "956-723-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMCHAN",
        "first_name": "RALPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E3075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099912002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.