NPIMap

Individual provider Active NPI

Binusha Moitheennazima, MD

  • Pulmonary Disease Physician
  • Nacogdoches, TX
National Provider Identifier
1760658330
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
N5256 Issued in TX
Practice address
1209 N Mound St
Nacogdoches, TX 75961-4028
Phone
(936) 585-4646
Fax
(936) 585-4645
NPI assigned
May 5, 2008
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X N5256 TX
Pulmonary Disease Physician 207RP1001X N5256 TX Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X N5256 TX

Addresses

Primary practice location

1209 N Mound St
Nacogdoches, TX 75961-4028

Mailing address

PO Box 631310
Nacogdoches, TX 75963-1310
Phone (936) 585-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000171 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 1759457468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nacogdoches Pulmonary and Sleep Associates PAGroup PAC ID 3678614070, 2 clinicians
Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians

Practice addresses (Care Compare)

1209 N Mound St
Nacogdoches, TX 75961-4028
Phone (936) 585-4646

2900 S Loop
Suite 256
Palestine, TX 75801-6958
Phone (903) 731-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.81 of 100Reported as group
Quality
70.11
Promoting interoperability
97
Improvement activities
40
Cost
73.46

Merit-based Incentive Payment System (MIPS)

Final score
81.93 of 100Reported as group
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N5256TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Specialty Physicians CurrentSince Sep 1, 2024 Accepting new patients
Texas Specialty Physicians Pulmonary Disease Current Accepting new patients
Nacogdoches Pulmonary and Sleep Associates PA Critical Care Medicine CurrentSince Jan 15, 2010 Accepting new patients
Texas Specialty Physicians CurrentSince Sep 1, 2024 Accepting new patients
Westward I Enterprises, LLC Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Past Accepting new patients

Locations

514 S Bonham St
Ste D
Mexia, TX 76667
Phone (254) 562-5961

1023 N Mound St
Ste H
Nacogdoches, TX 75961
Phone (936) 560-1812

1209 N Mound St
Nacogdoches, TX 75961
Phone (936) 560-1066

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

Interoperability endpoints

  • Direct secure messaging: binusha.moitheennazima.1@20210.direct.athenahealth.com
  • Direct secure messaging: binusha.moitheennazima@nps.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/20210/brand/1/csg/22/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACCCBA

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1760658330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631310",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759631310",
            "telephone_number": "936-585-4646",
            "fax_number": "936-585-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614028",
            "telephone_number": "936-585-4646",
            "fax_number": "936-585-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOITHEENNAZIMA",
        "first_name": "BINUSHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "N5256",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "N5256",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "N5256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.