Individual provider Active NPI

Jason Edward Mireles, D.P.M.

  • Foot Surgery Podiatrist
  • San Antonio, TX
National Provider Identifier
1255386736
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1726 Issued in TX
Practice address
14726 Hidden Glen Woods
San Antonio, TX 78249-1466
Phone
(210) 710-7547
Fax
(210) 598-7278
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1726 TX Primary

Addresses

Primary practice location

14726 Hidden Glen Woods
San Antonio, TX 78249-1466

Mailing address

14726 Hidden Glen Woods
San Antonio, TX 78249-1466
Phone (210) 710-7547

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000057 TX Practitioner - Podiatry 0244261790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Home Foot Care PLLCGroup PAC ID 5193989143, 3 clinicians

Practice addresses (Care Compare)

8601 Village Dr
Suite 210
San Antonio, TX 78217-5509
Phone (210) 852-2427

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue52
Removal of nail tissue3338
Removal or shaving of skin growth758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1726TXMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Foot Care PLLC CurrentSince Jan 19, 2012 Accepting new patients
Jason E. Mireles Foot Surgery Past Accepting new patients
Foot Care & Surgery Clinic, Inc Past Accepting new patients

Locations

8601 Village Dr
Ste 210
San Antonio, TX 78217
Phone (210) 654-8700

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1255386736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 HIDDEN GLEN WOODS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491466",
            "telephone_number": "210-710-7547",
            "fax_number": "210-598-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14726 HIDDEN GLEN WOODS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491466",
            "telephone_number": "210-710-7547",
            "fax_number": "210-598-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELES",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.