Individual provider Active NPI

Mauricio Giraldo, MD

  • Surgery Physician
  • Frisco, TX
National Provider Identifier
1649277906
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L9700 Issued in TX
Practice address
3110 W Main St
Suite 150
Frisco, TX 75033-4599
Phone
(469) 362-8665
Fax
(469) 362-8085
NPI assigned
Jul 1, 2005
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L9700 TX Primary

Addresses

Primary practice location

3110 W Main St
Suite 150
Frisco, TX 75033-4599

Mailing address

3110 W Main St
Suite 150
Frisco, TX 75033-4599
Phone (469) 362-8665

Other identifiers 1

IdentifierTypeStateIssuer
175320401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050323000573 TX Practitioner - General Surgery 8426004441 Reassigns benefits to 1 organization
I20101201000107 PA Practitioner - General Surgery 8426004441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3110 Main St
Suite 150
Frisco, TX 75033-4599
Phone (469) 362-8665

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mauricio Giraldo MD PA CurrentSince Oct 1, 2004 Accepting new patients
Beaver Valley Foot Clinic PC Surgery CurrentSince Jun 29, 2010 Accepting new patients
Greater Pittsburgh Multi-Specialty Group, PC Surgery Current Accepting new patients
Beaver Valley Foot Clinic PC Current Accepting new patients
Beaver Valley Foot Clinic, PC CurrentSince Jun 29, 2010 Accepting new patients

Locations

20555 Route 19
Ste D
Cranberry Twp, PA 16066
Phone (724) 772-3668

500 Market St
Ste 101
West Bridgewater, PA 15009
Phone (878) 313-3338

3110 Main St
Ste 150
Frisco, TX 75033
Phone (469) 362-8665

Interoperability endpoints

  • Direct secure messaging: dmcmgiral@yourcarecommunity.org
  • Direct secure messaging: drgiraldo@bvfcandavc.medentdirect.com

Organizations & group practices 5

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1649277906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 W MAIN ST",
            "address_2": "SUITE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334599",
            "telephone_number": "469-362-8665",
            "fax_number": "469-362-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 W MAIN ST",
            "address_2": "SUITE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334599",
            "telephone_number": "469-362-8665",
            "fax_number": "469-362-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRALDO",
        "first_name": "MAURICIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L9700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175320401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.