DR. MIMI PHAN HAGHSHENAS MD
NPI 1265010763
Radiology - Diagnostic Radiology in Houston, TX

Q: What is Mimi Haghshenas's NPI number?

The NPI number for Mimi Haghshenas is 1265010763. It was assigned to this individual provider in the NPPES registry on March 29, 2021. The provider is also known as Mimi Phan.

Q: What is Mimi Haghshenas's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Mimi Haghshenas was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment

6701 FANNIN ST STE 470, HOUSTON, TX 77030(713) 790-3311 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2021, Mar 29, 2021 (2 updates tracked since 2021).

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About Dr. Mimi Phan Haghshenas Md NPPES

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

DR. MIMI PHAN HAGHSHENAS MD (NPI 1265010763) is an individual diagnostic radiology provider in Houston, Texas, licensed in Texas (W2724) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2021).

NPPES Registry Identity

NPI1265010763

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. MIMI PHAN HAGHSHENASCredential: MD

Location Address6701 FANNIN ST STE 470Houston, TX 77030-2608

Mailing Address6701 Fannin St Ste 470Houston, TX 77030-2608

Phone(713) 790-3311

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2021

Enumeration DateMarch 29, 2021

Last NPPES UpdateJune 24, 20262 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1265010763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TX · W2724

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

6701 FANNIN ST STE 470, Houston, TX 77030

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Other Names 1

Former Name (1)Mimi Phan

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. Mimi Phan Haghshenas Md 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 ID7214336478

PECOS Enrollment IDI20260323002265

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.

Medicare Billing Reassignment

Medicare enrollment records show Mimi Haghshenas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Children's Physician Group

0.1 mi

Pediatrics

6621 FANNIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Childrens Physician Group
2,498 clinicians in this Medicare group

NPI 1861675506 (832) 824-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician 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.

New Patient

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHUSHBU H PATEL MD

Radiology (Pediatric Radiology)