Individual provider Active NPI

Charles F Mild, MD

  • Interventional Cardiology Physician
  • Harlingen, TX
National Provider Identifier
1396735999
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
H6895 Issued in TX
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

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
120333302MedicaidTX

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
I20100304000629 TX Practitioner - Cardiovascular Disease (Cardiology) 9931283942 Reassigns benefits to 1 organization

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
Jaime S Gomez MdpaGroup PAC ID 9739212333, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Jaime S Gomez Mdpa CurrentSince Dec 15, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.