Individual provider Active NPI

Cres P Miranda Jr., MD

  • Interventional Cardiology Physician
  • Las Vegas, NV
National Provider Identifier
1063420065
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
6467 Issued in NV
Practice address
401 N Buffalo Dr Ste 100
Las Vegas, NV 89145-0397
Phone
(702) 240-6482
Fax
(702) 804-0957
NPI assigned
Aug 4, 2006
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6467 NV
Cardiovascular Disease Physician 207RC0000X G62821 CA
Cardiovascular Disease Physician 207RC0000X 23417 AZ
Interventional Cardiology Physician 207RI0011X 6467 NV Primary

Addresses

Primary practice location

401 N Buffalo Dr Ste 100
Las Vegas, NV 89145-0397

Mailing address

700 E Silverado Ranch Blvd
Suite 170
Las Vegas, NV 89183-7516
Phone (702) 240-6482

Other practice location 1

801 S Rancho Dr Ste E6
Las Vegas, NV 89106-3812
Phone (702) 240-6482 ext. 7284

Other identifiers 1

IdentifierTypeStateIssuer
002002411MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000730 NV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Interventional Cardiology 7517932551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
University of California, San Francisco School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1440 E Calvada Blvd
Suite 700
Pahrump, NV 89048-5856
Phone (702) 240-6482

2724 N Tenaya Way
Suite 100
Las Vegas, NV 89128-0424
Phone (702) 240-6482

2839 Saint Rose Pkwy
Suite 160
Henderson, NV 89052-4849
Phone (702) 240-6482

3150 N Tenaya Way
Suite 135
Las Vegas, NV 89128-0463
Phone (702) 240-6482

401 N Buffalo Dr
Las Vegas, NV 89145-0397
Phone (702) 240-6482

4275 Burnham Ave
Suite 100
Las Vegas, NV 89119-5400
Phone (702) 240-6482

500 E Windmill LN
Suite 140
Las Vegas, NV 89123-1847
Phone (702) 240-6482

56 N Pecos Rd
Suite B
Henderson, NV 89074-7332
Phone (702) 240-6482

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23417AZMDMental Health Counselor
G62821CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Heart and Vascular Center Resh LLP Cardiovascular Disease CurrentSince Jan 21, 2005 Accepting new patients
Nevada Heart and Vascular Center Resh LLP Cardiovascular Disease CurrentSince Jan 21, 2005 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Brooklyn 83Rd St Medical Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Providence Health & Services Mt Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

56 N Pecos Rd
Ste B
Henderson, NV 89074
Phone (702) 724-8777

1820 E Desert Inn Rd
Ste A
Las Vegas, NV 89169
Phone (702) 732-7879

2724 N Tenaya Way
#100
Las Vegas, NV 89128

3150 N Tenaya Way
Ste 135
Las Vegas, NV 89128
Phone (702) 360-6100

3150 N Tenaya Way
Ste 320
Las Vegas, NV 89128
Phone (702) 962-2100

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

401 N Buffalo Dr
Ste 100
Las Vegas, NV 89145
Phone (702) 489-9000

500 E Windmill Ln
Ste 140
Las Vegas, NV 89123

5225 S Durango Dr
Las Vegas, NV 89113
Phone (702) 253-9355

5795 Arville St
Ste 200
Las Vegas, NV 89118

6525 N Buffalo Dr
Ste 130
Las Vegas, NV 89131
Phone (702) 313-7878

700 E Silverado Ranch Blvd
Ste 170
Las Vegas, NV 89183

801 S Rancho Dr
Ste E6
Las Vegas, NV 89106
Phone 7022406482 ext. 7284

1440 E Calvada Blvd
Ste 700
Pahrump, NV 89048
Phone (702) 933-6400

Interoperability endpoints

  • Direct secure messaging: cres.miranda.1@29724.direct.athenahealth.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1063420065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E SILVERADO RANCH BLVD",
            "address_2": "SUITE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837516",
            "telephone_number": "702-240-6482",
            "fax_number": "702-804-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BUFFALO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450397",
            "telephone_number": "702-240-6482",
            "fax_number": "702-804-0957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Rancho Dr Ste E6",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891063812",
            "country_code": "US",
            "telephone_number": "702-240-6482 x7284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "CRES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "6467",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G62821",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "23417",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "6467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002411",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.