MIRAIE WARDI (D.O) – Nephrology Physician, NPI 1386056695

MIRAIE WARDI (D.O) is a healthcare provider. based in Grapevine, Texas. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials D.O. They hold a License No. S2196 (TX). The NPI Number for MIRAIE WARDI (D.O) is 1386056695

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MIRAIE WARDI (D.O)
NPI
1386056695
Phone
(817) 488-6812
Address
3801 WILLIAM D TATE AVE STE 105
Enumeration Date
21 May 2014
Last Update Date
22 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8172835166
Graduation Year
2014 (12 years ago)
PAC ID
0840524799
Group Practice PAC ID
8820138464
Professional Enrollment ID
I20190626001468
Address ID
TX760215083BE2425X121X301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,168 NEPHROLOGY in TX

Provider Addresses for MIRAIE WARDI (D.O)

  • 3801 WILLIAM D TATE AVE STE 105

    GRAPEVINE, TX 760518755

    Phone: (817) 488-6812

    Fax: (817) 251-1303

    Type: Mailing

  • 2425 HIGHWAY 121 STE 201

    BEDFORD, TX 760215011

    Phone: (817) 283-5166

    Fax: (817) 283-5176

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-06-26

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
I20190626001468INephrologyTXTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes279108$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes246106$0
99214Established patient office or other outpatient visit, 30-39 minutes243132$0
36415Insertion of needle into vein for collection of blood sample16280$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)10332$0
View full utilization report →

Insurance plans in this area (ZIP 76051)

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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: 8820138464View full group profile
NameSpecialtyState
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nurse PractitionerTX
N E P H R O L O G YTX
N E P H R O L O G YTX

Reviews

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Frequently asked questions

Can I verify MIRAIE WARDI (D.O) with an NPI only?
You can start verification with NPI 1386056695 for MIRAIE WARDI (D.O), then check state licensing separately.
Is MIRAIE WARDI (D.O) listed as active for patients and plans?
The listing shows MIRAIE WARDI (D.O) as active in the NPI system.
What is MIRAIE WARDI (D.O)'s primary classification?
Nephrology Physician is the headline specialty for MIRAIE WARDI (D.O) here. Clinical services aligned with this taxonomy classification.
Does MIRAIE WARDI (D.O) list a practice location?
Patients near Grapevine, Texas may find MIRAIE WARDI (D.O) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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