Individual provider Active NPI

Mika Kamada Cole, M.D,

  • Allergy & Immunology Physician
  • San Antonio, TX
National Provider Identifier
1285688168
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
H8701 Issued in TX
Practice address
8001 Broadway St
San Antonio, TX 78209-5713
Phone
(210) 930-4555
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X H8701 TX Primary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X H8701 TX

Addresses

Primary practice location

8001 Broadway St
San Antonio, TX 78209-5713

Mailing address

8001 Broadway St
San Antonio, TX 78209-2628
Phone (210) 930-4555

Other identifiers 1

IdentifierTypeStateIssuer
115622604MedicaidTX

Other names 1

  • Miss Mika Margaret Kamada Former name

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
I20040813000202 TX Practitioner - Allergy/Immunology 8729051396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Missouri, Kansas City, School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Certified Allergy and Asthma of San Antonio PAGroup PAC ID 9638209505, 3 clinicians

Practice addresses (Care Compare)

8001 Broadway
San Antonio, TX 78209-2628
Phone (210) 930-4555

8001 Broadway St
San Antonio, TX 78209-2628

8285 Fredericksburg Rd
San Antonio, TX 78229-3358
Phone (210) 614-3923

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8701TXMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mika K. Cole, MD, PA CurrentSince Oct 28, 1998 Accepting new patients
Joe L. Cole, M.D., P.a. PastSince Nov 1, 1998 Accepting new patients

Locations

5323 Broadway
San Antonio, TX 78209
Phone (210) 930-0440

8001 Broadway
San Antonio, TX 78209
Phone (210) 930-0440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1285688168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092628",
            "telephone_number": "210-930-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095713",
            "telephone_number": "210-930-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "MIKA",
        "middle_name": "KAMADA",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "H8701",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "H8701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115622604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKA",
            "last_name": "KAMADA",
            "middle_name": "MARGARET",
            "prefix": "MISS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.