Active NPI
Moluk Mirrasouli Ragland, D.O.
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N1423
- Practice address
- 7003 S New Braunfels Ave
San Antonio, TX 78223-4588 - Phone
- (678) 501-2814
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N1423 | TX | Primary |
Addresses
Primary practice location
7003 S New Braunfels Ave
San Antonio, TX 78223-4588
Mailing address
2575 Northwinds Pkwy
Alpharetta, GA 30009-2232
Other practice location 1
3503 Paesanos Pkwy Ste 101
San Antonio, TX 78231-1225
Phone (210) 492-8922
Other names 1
- Miss Moluk Sadat Mirrasouli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aitkin Community Hospital Inc
Practice addresses (Care Compare)
200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2121
Hospital & facility affiliations
- Riverwood Healthcare Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1423 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Health by Design Medical Group | Past | Accepting new patients |
Locations
200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
6160 S Yale Ave
Tulsa, OK 74136
Phone (918) 492-7200
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Aitkin, MN
- NPI 1942277835
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Rural Health Clinic/Center
- McGregor, MN
- NPI 1245395409
-
- Community/Retail Pharmacy
- Aitkin, MN
- NPI 1497377287
-
- Clinic/Center
- Aitkin, MN
- NPI 1609412816
-
- Primary Care Clinic/Center
- San Antonio, TX
- NPI 1487838611
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Aitkin, MN
- NPI 1942277835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1407094873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 NORTHWINDS PKWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300092232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7003 S NEW BRAUNFELS AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782234588",
"telephone_number": "678-501-2814"
}
],
"practiceLocations": [
{
"address_1": "3503 Paesanos Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782311225",
"country_code": "US",
"telephone_number": "210-492-8922",
"fax_number": "210-479-2010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAGLAND",
"first_name": "MOLUK",
"middle_name": "MIRRASOULI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N1423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLUK",
"last_name": "MIRRASOULI",
"middle_name": "SADAT",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.