KHUSRAV MIROV AGACNP
NPI 1023989274
Nurse Practitioner - Acute Care in San Antonio, TX

Active since September 12, 2025PECOS EnrolledAccepts Medicare Assignment
1139 E SONTERRA BLVD, SAN ANTONIO, TX 78258(210) 576-5401 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Khusrav Mirov Agacnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHUSRAV MIROV AGACNP (NPI 1023989274) is an individual acute care provider in San Antonio, Texas, licensed in Texas (1212964) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023989274
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameKHUSRAV MIROVCredential: AGACNP
Location Address1139 E SONTERRA BLVDSan Antonio, TX 78258-4347
Mailing Address1139 E Sonterra BlvdSan Antonio, TX 78258-4347
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
NPI 1023989274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · 1212964
1139 E SONTERRA BLVD, San Antonio, TX 78258

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Khusrav Mirov Agacnp 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.

PECOS PAC ID5294228482
PECOS Enrollment IDI20251205001500
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Rehabilitation Unit
1139 E SONTERRA BLVD
SAN ANTONIO, TX 78258
Physical Therapist
1139 E SONTERRA BLVD
SAN ANTONIO, TX 78258
Pharmacist (Geriatric)
1139 E SONTERRA BLVD
SAN ANTONIO, TX 78258
Internal Medicine
1139 E SONTERRA BLVD, SUITE #405
SAN ANTONIO, TX 78258
Orthopaedic Surgery
1139 E SONTERRA BLVD, SUITE 500
SAN ANTONIO, TX 78258
Orthopaedic Surgery
1139 E SONTERRA BLVD, STE 500
SAN ANTONIO, TX 78258
Nurse Practitioner (Acute Care)
1139 E SONTERRA BLVD
SAN ANTONIO, TX 78258
Nurse Practitioner (Family)
1139 E SONTERRA BLVD, SUITE 405
SAN ANTONIO, TX 78258

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 Khusrav Mirov's NPI number?

The NPI number for Khusrav Mirov is 1023989274. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Khusrav Mirov located?

Khusrav Mirov practices at 1139 E Sonterra Blvd, San Antonio, TX 78258. The listed phone number is (210) 576-5401.

What is Khusrav Mirov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Khusrav Mirov enrolled in Medicare?

Yes. Khusrav Mirov 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.

Is Khusrav Mirov affiliated with any hospitals?

According to CMS data, Khusrav Mirov is affiliated with Methodist Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Khusrav Mirov was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.