DR. MINGIZIEM EMIRU (MD) – Nephrology Physician, NPI 1023167095

DR. MINGIZIEM EMIRU (MD) is a healthcare provider. based in Tyler, Texas. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. M0068 (TX). The NPI Number for DR. MINGIZIEM EMIRU (MD) is 1023167095

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MINGIZIEM EMIRU (MD)
NPI
1023167095
Phone
(903) 526-0480
Address
807 E 1st St
Enumeration Date
9 January 2007
Last Update Date
20 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035415143
Graduation Year
1993 (33 years ago)
PAC ID
4284690512
Group Practice PAC ID
4486915600
Professional Enrollment ID
I20041208000219
Address ID
TX757662434JA501XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,168 NEPHROLOGY in TX

Provider Addresses for DR. MINGIZIEM EMIRU (MD)

  • 807 E 1st St

    Tyler, TX 757013304

    Phone: (903) 526-0480

    Fax: (903) 595-5128

    Type: Location

  • 1133, Medical Drive, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757012130

    Phone: (903) 595-5486

    Fax: (903) 595-5128

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($49).

Total Amount

$182

General + Research + Ownership

Payments

8

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041208000219INephrologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,60026$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes482141$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes30194$0
99214Established patient office or other outpatient visit, 30-39 minutes148121$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)13537$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486915600View full group profile

Reviews

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Frequently asked questions

Does DR. MINGIZIEM EMIRU (MD) have a public NPI I can cite?
Public records show DR. MINGIZIEM EMIRU (MD) under NPI 1023167095.
Does the public listing show DR. MINGIZIEM EMIRU (MD) as active?
DR. MINGIZIEM EMIRU (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. MINGIZIEM EMIRU (MD) does?
Insurance directories may phrase it differently, but here DR. MINGIZIEM EMIRU (MD) maps to Nephrology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MINGIZIEM EMIRU (MD) in Tyler, Texas?
For routing, start with Tyler, Texas for DR. MINGIZIEM EMIRU (MD), then verify phone and hours locally.
Can I export DR. MINGIZIEM EMIRU (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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