Nana Mireku, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

NO282 Issued in TX

Practice address

3051 Churchill Dr Ste 130
Flower Mound, TX 75022-2710

Phone

(972) 539-0086

Fax

(972) 355-9680

NPI assigned

May 15, 2008

Last updated

Apr 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kma Radiology, PA

  • Body Imaging Physician
  • Dallas, TX
  • NPI 1831201888
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1558538835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 CHURCHILL DR STE 130",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222710",
            "telephone_number": "972-539-0086",
            "fax_number": "972-355-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 CHURCHILL DR STE 130",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222710",
            "telephone_number": "972-539-0086",
            "fax_number": "972-355-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIREKU",
        "first_name": "NANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "NO282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199915302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00929479",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199915303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Susan Miner, M.S. CCC-SLP
• Mint Dentistry, PLLC (Flower Mound MINT Dentistry)
• Bryan H. Minton, M.D.
• Sebastian M Mirabal, O.D.
• Diana R Miranda, NP-C
• Arshia Mirhadi, D.C.
• Minaxi Mirkal, DDS
• Shyamala Miryala, MD
• Janice Louise Mitchell, MD
• Jon Mitchell, LCSW-S

• Allergy & Immunology Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.