Active NPI
Fernando G Miranda, MD
- Specialist
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0043449
- Practice address
- 2801 Ocean Dr Ste 202
Vero Beach, FL 32963-2025 - Phone
- (772) 231-1155
- Fax
- (722) 231-1177
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0043449 | FL | Primary |
Addresses
Primary practice location
2801 Ocean Dr Ste 202
Vero Beach, FL 32963-2025
Mailing address
2801 Ocean Dr Ste 202
Vero Beach, FL 32963-2025
Phone (772) 231-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1145 S Utica Ave
Suite 901
Tulsa, OK 74104-4005
Phone (918) 742-0400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30680 | CA | MD | Clinical Psychologist |
| ME0043449 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurolinks of Tulsa, LLC | Current | Accepting new patients | |
| Polaris Neuroscience Institute LLC | Specialist | Past | Accepting new patients |
| MCT Associates Inc. | Specialist | Past | Accepting new patients |
| Indian River Primary Care | Specialist | Past | Accepting new patients |
Locations
1145 S Utica Ave
Ste 901
Tulsa, OK 74104
Phone (918) 392-7071
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AACBDD/Endpoint/AACBDD
- https://fhir4.healow.com/fhir/r4/HECFAD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Tulsa, OK
- NPI 1336304187
-
- Specialist
- San Francisco, CA
- NPI 1003141185
-
- Specialist
- Vero Beach, FL
- NPI 1023192507
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700784000000",
"number": "1033144134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 OCEAN DR STE 202",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329632025",
"telephone_number": "772-231-1155",
"fax_number": "722-231-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 OCEAN DR STE 202",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329632025",
"telephone_number": "772-231-1155",
"fax_number": "722-231-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "FERNANDO",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2023-11-24",
"certification_date": "2023-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0043449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
- Mini Clinic of Vero Beach LLC
- Raquelle Alicia Ministre, M.D.
- Minly Inc (Miracle Ear)
- Paul Victor Minotty, M.D.
- Darian Dene Minzenmayer
- Michelle Misik, CRNA
- Miss B's Behavioral Services (Miss B's Learning Bee's Inc.)
- Miss B's Learning Bee's Inc. (Miss B's Learning Bees)
- George A Mitchell, DO
- Lauren E Mitchell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.