Rafael Alberto Mimbela, M.D.

Primary specialty

Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X

License

K1878 Issued in TX

Practice address

4770 N Expressway # 83
Suite 102
Brownsville, TX 78526-4165

Phone

(956) 350-0779

Fax

(956) 350-3006

NPI assigned

Aug 23, 2006

Last updated

Aug 31, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

NeurologyAlso: Pediatric Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AADGCA/Endpoint/AADGCA

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.

• Fedora E Paulet PLLC

  dba Fedora E Paulet, MD

  • Internal Medicine Physician
  • Donna, TX
  • NPI 1174905749
  NPD (past)
• McAllen Hospitalist Group, PLLC

  dba Valley Care Clinics

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1356361976
  NPD (past)
• Miguel a Petrozzi MD PA

  • Pediatric Neurodevelopmental Disabilities Physician
  • Brownsville, TX
  • NPI 1528291713
  NPD (past)
• Rafael Villalobos MD PA

  • Pediatric Neurodevelopmental Disabilities Physician
  • Brownsville, TX
  • NPI 1386731073
  NPD (past)
• Valley Pediatric Cardiology, P.L.L.C

  • Pediatric Cardiology Physician
  • Donna, TX
  • NPI 1982840815
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1730296047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785235718",
            "telephone_number": "956-350-0779",
            "fax_number": "956-350-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY # 83",
            "address_2": "SUITE 102",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264165",
            "telephone_number": "956-350-0779",
            "fax_number": "956-350-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMBELA",
        "first_name": "RAFAEL",
        "middle_name": "ALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "TX",
            "license": "K1878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "614370",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110734402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Paola Mijares, BT
• Vicki Miles-Rodriguez, L.P.T.
• Milestone Play & Therapy, LLC
• Sari Miller, PA-C
• Anthony Paul Millon, LPC
• Mind Body Pediatric Clinic PLLC
• Mindful Insight Counseling PLLC
• Mindful Pediatrics, PLLC
• Minerva Urgent Care, PLLC
• Ministry Home Health Inc. (Ministry Adult Day Care)

• Pediatric Neurodevelopmental Disabilities Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Pediatric Neurodevelopmental Disabilities Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.