NPIMap

Individual provider Active NPI

Mehran A Nezhad, M.D.

  • Internal Medicine Physician
  • Victoria, TX
National Provider Identifier
1881658334
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J7298 Issued in TX
Practice address
2705 Hospital Dr
Suite 208
Victoria, TX 77901-5775
Phone
(361) 574-1755
Fax
(361) 574-1754
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J7298 TX Primary

Addresses

Primary practice location

2705 Hospital Dr
Suite 208
Victoria, TX 77901-5775

Mailing address

2705 Hospital Dr
Suite 208
Victoria, TX 77901-5775
Phone (361) 574-1755

Other identifiers 1

IdentifierTypeStateIssuer
0019-ACOtherTXBLUE CROSS BLUE SHIELD

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
I20041015000316 TX Practitioner - Internal Medicine 5799745550 Practice locations: Victoria, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2705 Hospital Dr
Victoria, TX 77901-5776
Phone (361) 574-1755

Hospital & facility affiliations

  • Citizens Medical Center Home Health Agency Home health agency, Victoria, TX, CCN 457024
  • Excel Complete Home Healthcare Inc Home health agency, Victoria, TX, CCN 677920
  • Pam Health at Home Home health agency, Buda, TX, CCN 747688
  • Angels Care Home Health Home health agency, Bay City, TX, CCN 679345
  • Texas Home Health Skilled Services Home health agency, Victoria, TX, CCN 673133
  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • Jackson Healthcare Center Hospital, Edna, TX, CCN 451363
  • Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597
  • Yoakum Community Hospital Hospital, Yoakum, TX, CCN 451346
  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J7298TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C. Lyman, MD, PA PastSince Jul 1, 2011 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1881658334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 HOSPITAL DR",
            "address_2": "SUITE 208",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015775",
            "telephone_number": "361-574-1755",
            "fax_number": "361-574-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 HOSPITAL DR",
            "address_2": "SUITE 208",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015775",
            "telephone_number": "361-574-1755",
            "fax_number": "361-574-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZHAD",
        "first_name": "MEHRAN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J7298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0019-AC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.