Harish Koolwal

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

H7771 Issued in TX

Practice address

214 W Sam Houston Blvd
Suite a
Pharr, TX 78577-5346

Phone

(956) 994-1177

Fax

(956) 283-0647

NPI assigned

Dec 15, 2005

Sex

Male

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 2

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

Specialty

Cardiovascular Disease (Cardiology)

Education

State University of New York at Buffalo School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711
• South Texas Health System Hospital, Edinburg, TX, CCN 450119

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: harish.koolwal.1@29691.direct.athenahealth.com

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.

• Harish Koolwal MD PA

  • Cardiovascular Disease Physician
  • Pharr, TX
  • NPI 1811049869
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Rio Grande Healthcare, L.P.

  • General Acute Care Hospital
  • McAllen, TX
  • NPI 1619924719
  Care Compare affiliation
• McAllen Hospitals L P

  • Cardiac Rehabilitation Clinic/Center
  • McAllen, TX
  • NPI 1043849425

  Hospital

  Care Compare affiliation
• McAllen Hospitals L P

  • Psychiatric Hospital Unit
  • Edinburg, TX
  • NPI 1053301754
  Care Compare affiliation
• McAllen Hospitals L P

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1770573586
  Care Compare affiliation

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1730165481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W SAM HOUSTON BLVD",
            "address_2": "SUITE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775346",
            "telephone_number": "956-994-1177",
            "fax_number": "956-283-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W SAM HOUSTON BLVD",
            "address_2": "SUITE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775346",
            "telephone_number": "956-994-1177",
            "fax_number": "956-283-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOLWAL",
        "first_name": "HARISH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H7771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127601606",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "8454N0",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Pharr, TX
• Providers in Pharr, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.

Verify at the official NPI Registry.