Individual provider Active NPI

Hector Alejandro Miranda-Grajales, M.D.

  • Interventional Pain Medicine Physician
  • West Lake Hills, TX
National Provider Identifier
1942484100
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
Q4469 Issued in TX
Practice address
4201 Bee Caves Rd
Suite # C-213
West Lake Hills, TX 78746
Phone
(512) 960-4717
Fax
(855) 868-9882
NPI assigned
Dec 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME107880 FL
Physical Medicine & Rehabilitation Physician 208100000X Q4469 TX
Interventional Pain Medicine Physician 208VP0014X ME107880 FL
Interventional Pain Medicine Physician 208VP0014X Q4469 TX Primary

Addresses

Primary practice location

4201 Bee Caves Rd
Suite # C-213
West Lake Hills, TX 78746

Mailing address

4201 Bee Caves Road
Suite # C-213
West Lake Hills, TX 78746
Phone (512) 960-4717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 2, 2016 through Jan 2, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q4469TXMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1942484100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES ROAD",
            "address_2": "SUITE # C-213",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-960-4717",
            "fax_number": "855-868-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD",
            "address_2": "SUITE # C-213",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-960-4717",
            "fax_number": "855-868-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA-GRAJALES",
        "first_name": "HECTOR",
        "middle_name": "ALEJANDRO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME107880",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q4469",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME107880",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "Q4469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.