Mir S Ali, MD
Individual provider Active NPI Pediatrics Physician · Brownsville, TX
NPI 1851340129 · NPPES record last updated Oct 16, 2008
Key facts
- NPI
- 1851340129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- K3668 (TX)
- Practice address
- 3354 International Blvd
Brownsville, TX 78521-3226 - Phone
- (956) 548-6666
- Fax
- (956) 548-6667
- NPI assigned
- May 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060404000261 | TX | Practitioner - Pediatric Medicine | 0244248193 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K3668 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & M Pediatrics, PLLC | Pediatrics | Current |
Accepting new patients |
| M & M North, LLP | Pediatrics | Past | Accepting new patients |
| M & M South at Clinica Santa Maria, LLP | Pediatrics | Past | Accepting new patients |
Locations
3354 International Blvd
Brownsville, TX 78521
Phone (956) 548-6666
1474 W Price Rd
#602
Brownsville, TX 78520
Phone (956) 465-1193
1424 W Price Rd
#602
Brownsville, TX 78520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K3668 | TX | Yes |
| Pediatric Adolescent Medicine Physician | 2080A0000X | K3668 | TX |
Addresses
Primary practice location
3354 International Blvd
Brownsville, TX 78521-3226
Mailing address
1710 Briarwyck Dr
Brownsville, TX 78520-9262
Phone (956) 350-6144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104844903 | Medicaid | TX |
Other providers in Brownsville, TX
- Christine Ellen Alejandro
- Brenda Michelle Alejos
- Alexander P. Sudarshan MD PA
- Alexander Pradip Sudarshan
- Fadi Alfayoumi
- Alivio Home Health Inc
- Alivio Pain & Injury Recovery Center Inc
- Olga L. Aljure
- Taer Ahmed Alkuor
- All Valley Smiles LLC
All providers in Brownsville, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.