Eva S Mina, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K8344 Issued in TX

Practice address

3100 North Tarrant Parkway #104
Fort Worth, TX 76177-8616

Phone

(817) 358-5500

Fax

(817) 358-5511

NPI assigned

Oct 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catalyst Physician Group - NTX, PLLCGroup PAC ID 4284074758, 87 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Healing Hands Healthcare LLC Home health agency, Wichita Falls, TX, CCN 677101
• Medical City Alliance Hospital, Fort Worth, TX, CCN 670103

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eva.mina.1@30724.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Catalyst Physician Group - NTX, PLLC

  • Family Medicine Physician
  • Plano, TX
  • NPI 1811677610

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Northeast Tarrant Internal Medicine Associates

  • Internal Medicine Physician
  • Euless, TX
  • NPI 1215007570
  Medicare reassignment NPD
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Healing Hands Healthcare

  • Home Health Agency
  • Wichita Falls, TX
  • NPI 1457722449
  Care Compare affiliation
• North Texas - Mca LLC

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1871911016
  Care Compare affiliation

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1891784922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403957",
            "telephone_number": "817-358-5500",
            "fax_number": "817-358-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NORTH TARRANT PARKWAY #104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778616",
            "telephone_number": "817-358-5500",
            "fax_number": "817-358-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINA",
        "first_name": "EVA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155961901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mimi Family Dental
• Christine Mims, LPC
• David Leon Mims
• Sommer Mims, CPNP
• Rosana E Mina-Meza
• Nicole M Minatrea, D.C.
• Mind Above Matter LLC
• Mind Above Matter LLC
• Mind Above Matter LLC
• Mind Above Matter LLC

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.