Active NPI
Charles F Mild, MD
- Interventional Cardiology Physician
- Harlingen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- H6895
- Practice address
- 2121 Pease St
Suite 407
Harlingen, TX 78550-8348 - Phone
- (956) 421-5111
- Fax
- (956) 421-5221
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | H6895 | TX | Primary |
Addresses
Primary practice location
2121 Pease St
Suite 407
Harlingen, TX 78550-8348
Mailing address
2121 Pease St
Suite 407
Harlingen, TX 78550-8348
Phone (956) 421-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120333302 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 N Ed Carey Dr
Suite E
Harlingen, TX 78550-8281
Phone (956) 594-7121
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaime S Gomez Mdpa | Current | Accepting new patients | |
| Valley Diagnostic Clinic PA | Past | Accepting new patients |
Locations
100 E Alton Gloor Blvd
Ste 100A
Brownsville, TX 78526
Phone (956) 350-7000
5700 N Expressway
Ste 303
Brownsville, TX 78526
Phone (956) 542-1531
1801 N Ed Carey Dr
Ste E
Harlingen, TX 78550
Phone (956) 594-7121
1801 N Ed Carey Dr
Ste A
Harlingen, TX 78550
Phone (956) 423-5033
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Cardiovascular Disease Physician
- Brownsville, TX
- NPI 1023337839
-
- Internal Medicine Physician
- Harlingen, TX
- NPI 1831185974
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Valley Regional Medical Center
- General Acute Care Hospital
- Brownsville, TX
- NPI 1043267701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1396735999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 PEASE ST",
"address_2": "SUITE 407",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508348",
"telephone_number": "956-421-5111",
"fax_number": "956-421-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 PEASE ST",
"address_2": "SUITE 407",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508348",
"telephone_number": "956-421-5111",
"fax_number": "956-421-5221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILD",
"first_name": "CHARLES",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "H6895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120333302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.