Individual provider Active NPI

Miriam G Rafferty, AU. D.

  • Audiologist
  • Houston, TX
National Provider Identifier
1578793402
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80154 Issued in TX
Practice address
1504 Taub Loop
Houston, TX 77030-1608
Phone
(713) 798-1750
Fax
(713) 798-4693
NPI assigned
Jul 27, 2009
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 80154 TX
Audiologist 231H00000X 80154 TX Primary

Addresses

Primary practice location

1504 Taub Loop
Houston, TX 77030-1608

Mailing address

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 798-1750

Other practice location 1

17450 St Lukes Way
Suite 200
The Woodlands, TX 77384-8044
Phone (281) 203-5015

Other practice location 2

7200 Cambridge St. 10th Floor
Houston, TX 77030-8044
Phone (713) 798-1750 ext. 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091102000458 TX Practitioner - Qualified Audiologist 2163569617 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Aug 5, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 5, 2019 Accepting new patients
Promise Audiology Audiologist Current Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2022 Accepting new patients
ENT and Allergy Associates of Texas PLLC PastSince Jan 1, 2026 Accepting new patients

Locations

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

18220 Tomball Pkwy
Ste 155
Houston, TX 77070
Phone (281) 440-5858

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6550 Fannin St
Ste 1723
Houston, TX 77030
Phone (713) 441-1368

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1578793402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-798-1750",
            "fax_number": "713-798-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-798-1750",
            "fax_number": "713-798-4693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17450 St Lukes Way",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773848044",
            "country_code": "US",
            "telephone_number": "281-203-5015",
            "fax_number": "936-271-2125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Cambridge St. 10th Floor",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770308044",
            "country_code": "US",
            "telephone_number": "713-798-1750 x2",
            "fax_number": "713-798-4693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFFERTY",
        "first_name": "MIRIAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "AU. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80154",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.