Irene Luisa Prather, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

F4587 Issued in TX

Practice address

506 Hwy 37 S
Mount Vernon, TX 75457-6550

Phone

(903) 537-8222

Fax

(903) 537-8223

NPI assigned

Jun 25, 2006

Last updated

Jun 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Irene Luisa Valenzuela Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Vitas Healthcare of Texas, LP

  • Community Based Hospice Care Agency
  • Dallas, TX
  • NPI 1609915966

  W-2 Managing Employee

  CMS ownership

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.

• Vitas Health Services of Texas, P.a.

  dba Palliative Medical Associates of Texas

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1740566017
  Medicare reassignment NPD
• East Texas Medical Center Mount Vernon

  • General Acute Care Hospital
  • Mount Vernon, TX
  • NPI 1194807438
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1851327209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754570477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HWY 37 S",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754576550",
            "telephone_number": "903-537-8222",
            "fax_number": "903-537-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14651 Dallas Pkwy Ste 811",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752547476",
            "country_code": "US",
            "telephone_number": "877-868-4827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "IRENE",
        "middle_name": "LUISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F4587",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "F4587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00023453",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127802006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "VALENZUELA",
            "middle_name": "LUISA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mount Vernon Healthcare Residence LLC (Mission Manor Healthcare Residence)
• Mt Vernon Chiropractic Clinic PLLC (Mt Vernon Chiropractic Clininc)
• Mt Vernon Independent School Dist
• Mt Vernon Nursing Home Inc (Mission Manor Nursing Home)
• N.E.T. Opportunies, Inc.
• Premise Health of Texas Medical PA (My Health Center At Lowe's Mt Vernon)
• Richard Trent Rehnquist, DDS
• Renewed Hope Mental Health PC
• Katie Lynn Roberts, PTA
• Rule Pediatric Therapy Services

• Hospice and Palliative Medicine (Family Medicine) Physician in Mount Vernon, TX
• Providers in Mount Vernon, TX by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.