Individual provider Active NPI

Jamir Encarnacion Mireles, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1881804540
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M7436 Issued in TX
Practice address
1219 Blackberry Hollow Dr
Houston, TX 77073-5605
Phone
(281) 821-2033
Fax
(281) 821-2033
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00047482 WA
Family Medicine Physician 207Q00000X M7436 TX Primary

Addresses

Primary practice location

1219 Blackberry Hollow Dr
Houston, TX 77073-5605

Mailing address

5231 North Fwy
Houston, TX 77022-1730
Phone (713) 694-2300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080418000226 TX Practitioner - Family Practice 1456439223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5231 N Fwy
Houston, TX 77022-1730
Phone (713) 694-2300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00047482WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamir E Mireles MD LLC Family Medicine CurrentSince Apr 30, 2003 Accepting new patients

Locations

5231 North Fwy
Houston, TX 77022
Phone (281) 812-2465

18531 Kuykendahl Rd
Spring, TX 77379
Phone (713) 694-2300

Organizations & group practices 1

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 1

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1881804540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 NORTH FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770221730",
            "telephone_number": "713-694-2300",
            "fax_number": "713-694-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 BLACKBERRY HOLLOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770735605",
            "telephone_number": "281-821-2033",
            "fax_number": "281-821-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELES",
        "first_name": "JAMIR",
        "middle_name": "ENCARNACION",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00047482",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.