Individual provider Active NPI

Vahid Mirafzali, M.D.

  • Pediatrics Physician
  • Brownsville, TX
National Provider Identifier
1851457691
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K6156 Issued in TX
Practice address
5850 FM 802
Suite C 6-7
Brownsville, TX 78526-5203
Phone
(956) 831-0880
Fax
(956) 831-0815
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K6156 TX Primary

Addresses

Primary practice location

5850 FM 802
Suite C 6-7
Brownsville, TX 78526-5203

Mailing address

5850 FM 802 Ste C6-7
Brownsville, TX 78526-5203
Phone (956) 831-0880

Other identifiers 3

IdentifierTypeStateIssuer
113221907MedicaidTX
113221910MedicaidTX
113221904MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1851457691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 FM 802 STE C6-7",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785265203",
            "telephone_number": "956-831-0880",
            "fax_number": "956-831-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 FM 802",
            "address_2": "SUITE C 6-7",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785265203",
            "telephone_number": "956-831-0880",
            "fax_number": "956-831-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAFZALI",
        "first_name": "VAHID",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113221907",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113221910",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113221904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.