NPIMap

Individual provider Active NPI

Muhammad Amjad Mir, DO

  • Nephrology Physician
  • Lufkin, TX
National Provider Identifier
1912168501
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N2667 Issued in TX
Practice address
409 Gaslight Blvd
Lufkin, TX 75904-3158
Phone
(936) 634-2227
Fax
(936) 634-4658
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N2667 TX
Nephrology Physician 207RN0300X N2667 TX Primary

Addresses

Primary practice location

409 Gaslight Blvd
Lufkin, TX 75904-3158

Mailing address

PO Box 150408
Lufkin, TX 75915-0408
Phone (936) 634-2227

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
I20090729000385 TX Practitioner - NephrologyPractitioner - Internal Medicine 1456404029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E T Nephrology Associates PAGroup PAC ID 7416904180, 5 clinicians

Practice addresses (Care Compare)

409 Gaslight Blvd
Lufkin, TX 75904-3158
Phone (936) 634-2227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.33 of 100Reported as group
Quality
97.53
Promoting interoperability
96
Improvement activities
40
Cost
74.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
E T Nephrology Associates PA Nephrology CurrentSince Jul 15, 2009 Accepting new patients

Locations

409 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 634-4422

700 S John Redditt Dr
Lufkin, TX 75904
Phone (409) 634-2227

1111 W Frank Ave
Ste 303
Lufkin, TX 75904
Phone (936) 632-0074

904 W Columbia St
San Augustine, TX 75972
Phone (936) 275-1303

Interoperability endpoints

  • Direct secure messaging: muhammad.mir.1@18822.direct.athenahealth.com

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 9

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1912168501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150408",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759150408",
            "telephone_number": "936-634-2227",
            "fax_number": "936-634-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043158",
            "telephone_number": "936-634-2227",
            "fax_number": "936-634-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIR",
        "first_name": "MUHAMMAD",
        "middle_name": "AMJAD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N2667",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N2667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.