Individual provider Active NPI

Neda Mirmiran, DPM

  • Podiatrist
  • Austin, TX
National Provider Identifier
1902126337
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2039 Issued in TX
Practice address
6500 Champion Grandview Way Apt 26006
Austin, TX 78750-8397
Phone
(512) 705-5856
Fax
(737) 358-9229
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2039 TX Primary

Addresses

Primary practice location

6500 Champion Grandview Way Apt 26006
Austin, TX 78750-8397

Mailing address

6500 Champion Grandview Way Apt 26006
Austin, TX 78750-8397
Phone (512) 705-5856

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130212000146 TX Practitioner - Podiatry 5193979540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1951 E State Hwy 97
Jourdanton, TX 78026-1523
Phone (830) 769-9797

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue366
Removal or shaving of skin growth106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2039TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC Podiatrist CurrentSince Jul 1, 2025 Accepting new patients
Lake Mi Mobile Doctors P.C. Podiatrist Past Accepting new patients
Lake Mi Mobile Doctors PC Podiatrist Past Accepting new patients

Locations

3706 Adelphi Ln
Austin, TX 78727
Phone (512) 833-9253

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

6600 9th Ave
Port Arthur, TX 77642
Phone (409) 962-5541

2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1902126337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 CHAMPION GRANDVIEW WAY APT 26006",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508397",
            "telephone_number": "512-705-5856",
            "fax_number": "737-358-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 CHAMPION GRANDVIEW WAY APT 26006",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508397",
            "telephone_number": "512-705-5856",
            "fax_number": "737-358-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRMIRAN",
        "first_name": "NEDA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.