Individual provider Active NPI

Mina Haidarian, MD

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1265526644
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K0799 Issued in TX
Practice address
6604 Westwind Dr
El Paso, TX 79912-2960
Phone
(915) 845-4600
Fax
(915) 845-4600
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K0799 TX Primary
Family Medicine Physician 207Q00000X 94259 NM

Addresses

Primary practice location

6604 Westwind Dr
El Paso, TX 79912-2960

Mailing address

6604 Westwind Dr
El Paso, TX 79912-2960
Phone (915) 845-4600

Other identifiers 1

IdentifierTypeStateIssuer
F3717MedicaidNM

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
I20100921000375 TX Practitioner - Family Practice 7911049218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6604 Westwind Dr
El Paso, TX 79912-2960
Phone (915) 845-4600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westwind Medical Associates PA Family Medicine CurrentSince Jul 1, 2010 Accepting new patients

Locations

6604 Westwind Dr
El Paso, TX 79912
Phone (915) 845-4600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBDHCD/Endpoint/GBDHCD
  • Direct secure messaging: mina-haidarian@westwind.e-mdsdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1265526644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 WESTWIND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122960",
            "telephone_number": "915-845-4600",
            "fax_number": "915-845-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 WESTWIND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122960",
            "telephone_number": "915-845-4600",
            "fax_number": "915-845-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDARIAN",
        "first_name": "MINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0799",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "94259",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F3717",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.