Individual provider Active NPI

Sanam Miaji

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1467230383
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1137112 Issued in TX
Practice address
8811 Village Dr
San Antonio, TX 78217-5415
Phone
(210) 297-2520
Fax
(210) 297-2539
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1137112 TX Primary

Addresses

Primary practice location

8811 Village Dr
San Antonio, TX 78217-5415

Mailing address

PO Box 5730
Belfast, ME 04915-5700

Other practice location 1

3327 Research Plz Ste 204
San Antonio, TX 78235-5157
Phone (210) 297-3520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115001313 TX Practitioner - Nurse Practitioner 9830546746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14201 Dallas Pkwy
Dallas, TX 75254-2916

5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443

919 La Cascada
San Antonio, TX 78258-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince Oct 23, 2023 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

2400 Augusta Dr
Ste 369
Houston, TX 77057
Phone (323) 545-4007

2400 Augusta Dr
Ste 366
Houston, TX 77057
Phone (346) 362-5344

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.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1467230383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5730",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 VILLAGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175415",
            "telephone_number": "210-297-2520",
            "fax_number": "210-297-2539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3327 Research Plz Ste 204",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782355157",
            "country_code": "US",
            "telephone_number": "210-297-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIAJI",
        "first_name": "SANAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1137112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.