DR. MIGUEL A NIETO D.O.
NPI 1003263468
Emergency Medicine in Houston, TX
About Dr. Miguel A Nieto D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MIGUEL A NIETO D.O. (NPI 1003263468) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (BP10056881) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Miguel A Nieto D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Miguel Nieto reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77035
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Houston, TX 77024
- Reassigned Medicare billing, Texas enrollment
- 408 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 1,452 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,338 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hermann Hospital System
Acute Care Hospitals · Houston, TXHca Houston Healthcare Clear Lake
Acute Care Hospitals · Webster, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Miguel Nieto's NPI number?
The NPI number for Miguel Nieto is 1003263468. It was assigned to this individual provider in the NPPES registry on May 16, 2016.
Where is Miguel Nieto located?
Miguel Nieto practices at 1504 Taub Loop Emergency Center, Houston, TX 77030. The listed phone number is (713) 873-7045.
What is Miguel Nieto's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Miguel Nieto enrolled in Medicare?
Yes. Miguel Nieto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Miguel Nieto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Nieto reassigns Medicare benefits to 4 organizations: South Main Clinic, Inc (Houston, TX), Memorial Hermann Hospital Based Physician Group (Houston, TX), Emergency Medicine Services Of Tx, PLLC (San Antonio, TX) and Concord Medical Group PLLC (Lubbock, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miguel Nieto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Miguel Nieto accept?
Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Oscar Health, Oscar Insurance Company and UnitedHealthcare list Miguel Nieto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Miguel Nieto affiliated with any hospitals?
According to CMS data, Miguel Nieto is affiliated with Memorial Hermann Hospital System and Hca Houston Healthcare Clear Lake.
When was this NPI record last updated?
The NPPES record for Miguel Nieto was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Miguel A Nieto, D.O. · NPI 1003263468
Emergency Medicine physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since May 16, 2016.
## Identity
- **NPI:** 1003263468 (Entity type: Individual)
- **Enumerated:** May 16, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** BP10056881 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1504 TAUB LOOP, EMERGENCY CENTER, Houston, TX 77030
- **Phone:** (713) 873-7045
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): South Main Clinic, Inc (NPI 1326068933, Houston, TX); Memorial Hermann Hospital Based Physician Group (NPI 1295363497, Houston, TX); Emergency Medicine Services Of Tx, PLLC (NPI 1245938729, San Antonio, TX); Concord Medical Group PLLC (NPI 1083630610, Lubbock, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Texas Hsc, College Of Osteopathic Med, class of 2016
## Record status
- **NPPES last updated:** May 16, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1003263468) · Data from the CMS NPPES public registry.