Active NPI
Nena Mirkovic, M.D.
- Radiation Oncology Physician
- The Woodlands, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- M2404
- Practice address
- 9323 Pinecroft Dr Ste 110
The Woodlands, TX 77380-3750 - Phone
- (281) 943-2440
- Fax
- (281) 943-9404
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | M2404 | TX | Primary |
Addresses
Primary practice location
9323 Pinecroft Dr Ste 110
The Woodlands, TX 77380-3750
Mailing address
22710 Professional Dr
Ste 102
Kingwood, TX 77339-6009
Phone (281) 401-5900
Other practice location 1
13700 Medical Complex Dr
Tomball, TX 77375-6554
Phone (281) 943-2440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180380102 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
501 W Medical Ctr Blvd
Webster, TX 77598-4219
Phone (281) 332-7505
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M2404 | TX | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Radiation Oncology | Current | Accepting new patients |
| Texas Oncology PA | Radiation Oncology | Current | Accepting new patients |
| Millennium Physicians Association, PLLC | Radiation Oncology | Current | Accepting new patients |
| Millennium Physicians Association PLLC | Current | Accepting new patients | |
| Texas Oncology PA | Radiation Oncology | Current | Accepting new patients |
| Radiation Oncology of San Antonio, PA | Past | Accepting new patients |
Locations
504 Medical Center Blvd
Ste 100
Conroe, TX 77304
Phone (936) 777-6550
506 Medical Center Blvd
Ste 100
Conroe, TX 77304
Phone (281) 569-2130
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722
1125 Cypress Station Dr
Ste E
Houston, TX 77090
Phone (281) 419-5818
130 Medical Center Pkwy
Ste 9
Huntsville, TX 77340
Phone (936) 439-0111
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
22730 Professional Dr
Kingwood, TX 77339
Phone (281) 312-8545
22710 Professional Dr
Kingwood, TX 77339
Phone (281) 298-2847
22710 Professional Dr
Ste 102
Kingwood, TX 77339
135 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 404-3000
9323 Pinecroft Dr
Ste 110
The Woodlands, TX 77380
Phone (281) 943-2440
13700 Medical Complex Dr
Tomball, TX 77375
Phone (281) 315-8160
501 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-4926
Interoperability endpoints
- nena.mirkovic@mphcc.direct-geniusdoc.com
- nmirkovic@mphcc.direct.varian.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- nena.mirkovic@mpa.ikm.direct-ci.com
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.
-
- Multi-Specialty Clinic/Center
- The Woodlands, TX
- NPI 1255397733
Radiation Oncology
-
- Community/Retail Pharmacy
- Kingwood, TX
- NPI 1811385727
-
- Specialist
- San Antonio, TX
- NPI 1184789232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1528081981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22710 PROFESSIONAL DR",
"address_2": "STE 102",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773396009",
"telephone_number": "281-401-5900",
"fax_number": "281-351-7538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9323 PINECROFT DR STE 110",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803750",
"telephone_number": "281-943-2440",
"fax_number": "281-943-9404"
}
],
"practiceLocations": [
{
"address_1": "13700 Medical Complex Dr",
"address_purpose": "LOCATION",
"city": "Tomball",
"state": "TX",
"postal_code": "773756554",
"country_code": "US",
"telephone_number": "281-943-2440",
"fax_number": "281-943-2404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRKOVIC",
"first_name": "NENA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "M2404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180380102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.