Individual provider Active NPI

Irina Remsburg, M.D.

  • Pediatrics Physician
  • Midland, TX
National Provider Identifier
1639439185
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q5545 Issued in TX
Practice address
4214 Andrews Hwy Ste 310
Midland, TX 79703-4822
Phone
(432) 697-4747
Fax
(432) 699-3813
NPI assigned
May 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q5545 TX Primary

Addresses

Primary practice location

4214 Andrews Hwy Ste 310
Midland, TX 79703-4822

Mailing address

4214 Andrews Hwy Ste 310
Midland, TX 79703-4822
Phone (432) 697-4747

Other identifiers 1

IdentifierTypeStateIssuer
Q5545OtherTXTEXAS MEDICAL LICENSE

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
I20150924002227 TX Practitioner - Pediatric Medicine 6305154345 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5545TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Community Healthcare Services CurrentSince Sep 1, 2020 Accepting new patients
Midland Community Healthcare Services CurrentSince Sep 1, 2020 Accepting new patients
Midland Community Healthcare Services Past Accepting new patients

Locations

4214 Andrews Hwy
Ste 310
Midland, TX 79703
Phone (432) 697-4747

2500 Delano Ave
Midland, TX 79701
Phone (432) 697-4747

801 E Florida Ave
Midland, TX 79701
Phone (432) 685-0450

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJEICD
  • Direct secure messaging: irina.remsburg@midchs.eclinicaldirectplus.com

Organizations & group practices 3

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": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1639439185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 310",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034822",
            "telephone_number": "432-697-4747",
            "fax_number": "432-699-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 310",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034822",
            "telephone_number": "432-697-4747",
            "fax_number": "432-699-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMSBURG",
        "first_name": "IRINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q5545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "Q5545",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.