MIP SA LLC
NPI 1568265205
Clinic/Center - Adolescent and Children Mental Health in San Antonio, TX
About Mip Sa Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIP SA LLC (NPI 1568265205) is a healthcare organization registered as an adolescent and children mental health in San Antonio, Texas and active in the NPI registry since March 2025. The organization lists Dina Kushaliyeva, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mip Sa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mip Sa LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mip Sa LLC's NPI number?
The NPI number for Mip Sa LLC is 1568265205. It was assigned to this organization in the NPPES registry on March 28, 2025.
Where is Mip Sa LLC located?
Mip Sa LLC is located at 901 NE Loop 410 # 405, San Antonio, TX 78209. The listed phone number is (210) 926-5502.
What is Mip Sa LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.
Is Mip Sa LLC enrolled in Medicare?
Yes. Mip Sa LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mip Sa LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mip Sa LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mip Sa LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mip Sa Llc · NPI 1568265205
Adolescent and Children Mental Health organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since March 28, 2025.
## Identity
- **NPI:** 1568265205 (Entity type: Organization)
- **Enumerated:** March 28, 2025
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Organization subpart:** Yes (part of Mip Svc Llc)
- **Authorized official:** Dina Kushaliyeva, DIRECTOR
## Practice location
- **Address:** 901 NE LOOP 410 # 405, San Antonio, TX 78209-1305
- **Phone:** (210) 926-5502
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568265205) · Data from the CMS NPPES public registry.