Individual provider Active NPI

Mohammad Reza Mizani, M.D.

  • Nephrology Physician
  • San Antonio, TX
National Provider Identifier
1497757660
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L2477 Issued in TX
Practice address
215 N San Saba Ste 301
San Antonio, TX 78207-8101
Phone
(210) 212-8622
Fax
(210) 212-9197
NPI assigned
Jun 1, 2005
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L2477 TX
Nephrology Physician 207RN0300X L2477 TX Primary

Addresses

Primary practice location

215 N San Saba Ste 301
San Antonio, TX 78207-8101

Mailing address

PO Box 650002 Dept 8286
Dallas, TX 75265-0002
Phone (210) 212-8622

Other identifiers 2

IdentifierTypeStateIssuer
167912801MedicaidTX
167912803MedicaidTX

Other names 1

  • M. Reza Mizani Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address reza.mizani@strcg.eclinicaldirectplus.com Direct

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
I20040825000317 TX Practitioner - NephrologyPractitioner - Internal Medicine 6002880499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
M Reza Mizani MD PAGroup PAC ID 5294709689, 28 clinicians

Practice addresses (Care Compare)

215 N San Saba
Suite 301
San Antonio, TX 78207-3164
Phone (210) 212-8622

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M. Reza Mizani, M.D., P.a. Nephrology CurrentSince Aug 1, 2004 Accepting new patients
M. Reza Mizani, M.D., P.a. CurrentSince Aug 1, 2004 Accepting new patients
M. Reza Mizani, M.D., P.a. Nephrology Past Accepting new patients

Locations

205 22nd St
Hondo, TX 78861
Phone (830) 426-2753

11212 State Highway 151
Ste 105
San Antonio, TX 78251
Phone (210) 265-8155

215 N San Saba
Ste 301
San Antonio, TX 78207
Phone (210) 212-8984

343 W Houston St
Ste 609
San Antonio, TX 78205
Phone (210) 212-4595

Interoperability endpoints

  • Direct secure messaging: reza.mizani@strcg.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1497757660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650002 DEPT 8286",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650002",
            "telephone_number": "210-212-8622",
            "fax_number": "210-212-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N SAN SABA STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782078101",
            "telephone_number": "210-212-8622",
            "fax_number": "210-212-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZANI",
        "first_name": "MOHAMMAD",
        "middle_name": "REZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2477",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L2477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167912801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167912803",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reza.mizani@strcg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "South Texas Renal Care Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "eClinical Works eHR",
            "address_1": "215 N San Saba Ste 301",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782078101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "MIZANI",
            "middle_name": "REZA",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.