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Individual provider Active NPI

Luis A Mignucci, MD

  • Neurological Surgery Physician
  • Plano, TX
National Provider Identifier
1407801970
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
H8758 Issued in TX
Practice address
6160 Windhaven Pkwy
200
Plano, TX 75093
Phone
(972) 378-6908
Fax
(972) 378-6749
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X H8758 TX Primary

Addresses

Primary practice location

6160 Windhaven Pkwy
200
Plano, TX 75093

Mailing address

6160 Windhaven Pkwy
200
Plano, TX 75093
Phone (972) 378-6908

Other identifiers 2

IdentifierTypeStateIssuer
137008211MedicaidTX
8B2926OtherTXBCBS PROVIDER ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000273 TX Practitioner - NeurosurgeryPractitioner - Neurology 3870589344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luis a Mignucci, MD PAGroup PAC ID 9436145000, 2 clinicians

Practice addresses (Care Compare)

6160 Windhaven Pkwy
Plano, TX 75093-2138
Phone (972) 378-6908

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
13.3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
44.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion145
Laminectomy or laminotomy (partial removal of spine bones)49
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8758TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windhaven Medical Imaging.LLC CurrentSince Apr 3, 2009 Accepting new patients
Luis a Mignucci, MD PA Neurological Surgery CurrentSince Jul 1, 2001 Accepting new patients
Neurospine Surgical Consultants Past Accepting new patients

Locations

3900 W 15th St
Ste 503
Plano, TX 75075
Phone (972) 596-5522

6160 Windhaven Pkwy
Ste 200
Plano, TX 75093
Phone (972) 378-6908

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.

Hospital & facility affiliations 6

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407801970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 WINDHAVEN PKWY",
            "address_2": "200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-378-6908",
            "fax_number": "972-378-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 WINDHAVEN PKWY",
            "address_2": "200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-378-6908",
            "fax_number": "972-378-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNUCCI",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "H8758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137008211",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID#",
            "identifier": "8B2926",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.