NPIMap

Individual provider Active NPI

Irving Miranda, M.D.

  • Surgery Physician
  • North Miami Beach, FL
National Provider Identifier
1033407879
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME127281 Issued in FL
Practice address
1Oo N.W. 170TH St
Suite 410
North Miami Beach, FL 33169
Phone
(305) 654-6850
Fax
(305) 654-6858
NPI assigned
Jul 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME127281 FL Primary

Addresses

Primary practice location

1Oo N.W. 170TH St
Suite 410
North Miami Beach, FL 33169

Mailing address

PO Box 12493
Miami, FL 33101-2493
Phone (305) 585-4249

Other practice location 1

150 Bergen st
E-401
Newark, NJ 07101-1709
Phone (973) 972-6591

Other practice location 2

100 NW 170th St Ste 140
North Miami Beach, FL 33169-5510
Phone (305) 654-6850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023002402 FL Practitioner - General Surgery 9032485826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

2801 NW 79TH Ave
Doral, FL 33122-1174
Phone (786) 466-1286

9333 SW 152ND St
Palmetto Bay, FL 33157-1778
Phone (305) 251-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince Sep 11, 2017 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Sep 11, 2017 Accepting new patients
Public Health Trust of Dade County Florida Past Accepting new patients

Locations

2801 NW 79th Ave
Ste 402
Doral, FL 33122
Phone (786) 466-1286

2801 NW 79th Ave
Ste 404
Miami, FL 33122
Phone (786) 281-6917

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

9380 SW 150th St
Ste 295
Miami, FL 33176
Phone (305) 256-5018

100 NW 170th St
Ste 140
North Miami Beach, FL 33169
Phone (305) 654-6850

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033407879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12493",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331012493",
            "telephone_number": "305-585-4249",
            "fax_number": "305-355-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1OO N.W. 170TH ST",
            "address_2": "SUITE 410",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "305-654-6850",
            "fax_number": "305-654-6858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Bergen st",
            "address_2": "E-401",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071011709",
            "country_code": "US",
            "telephone_number": "973-972-6591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 NW 170th St Ste 140",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331695510",
            "country_code": "US",
            "telephone_number": "305-654-6850",
            "fax_number": "305-654-6858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "IRVING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME127281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.