Individual provider Active NPI

Viktor Miro, M.D.

  • Hospitalist Physician
  • New Albany, IN
National Provider Identifier
1073856019
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
59974 Issued in TN
Practice address
1850 State St
New Albany, IN 47150-4990
Phone
(260) 266-2020
Fax
(812) 944-7701
NPI assigned
Mar 28, 2013
Last updated
May 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 305464 LA
Internal Medicine Physician 207R00000X 01078521A IN
Hospitalist Physician 208M00000X MD24890 ME
Hospitalist Physician 208M00000X Q7582 TX
Hospitalist Physician 208M00000X 59974 TN Primary

Addresses

Primary practice location

1850 State St
New Albany, IN 47150-4990

Mailing address

1200 Main St Apt 2309
Dallas, TX 75202-4311
Phone (347) 525-7203

Other identifiers 1

IdentifierTypeStateIssuer
8LV207OtherTXBCBS

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other
Direct Messaging Address vmiro829645@direct.casso.us.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA, IN, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170202001176 TX Practitioner - Internal MedicinePractitioner - Hospitalist 9931482718 Reassigns benefits to 6 organizations
I20171007000343 LA Practitioner - Internal Medicine 9931482718 Reassigns benefits to 1 organization
I20180420000762 IN Practitioner - Internal Medicine 9931482718 Reassigns benefits to 3 organizations
I20210709002731 TN Practitioner - Internal Medicine 9931482718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians
Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians
Hospitalist Physicians of Indiana PCGroup PAC ID 1052795986, 148 clinicians

Practice addresses (Care Compare)

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 468-8600

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2129

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59974TNMDHospitalist Physician
Q7582TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2020 Accepting new patients
Belle Chasse Physician Services LLC Hospitalist CurrentSince Dec 8, 2025 Accepting new patients
New Albany Hospitalist Group, LLC Hospitalist CurrentSince Oct 11, 2023 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Nov 20, 2019 Accepting new patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Sep 14, 2022 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Nov 10, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 20, 2019 Accepting new patients
MMH Physicians Hospitalist CurrentSince Aug 3, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 10, 2021 Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince May 1, 2020 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Bsa Hospital LLC Past Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: vmiro829645@direct.casso.us.com
  • Direct secure messaging: vmiro918044@ahs.direct-ci.com

Organizations & group practices 19

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 19

Hospital & facility affiliations 3

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1073856019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MAIN ST APT 2309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752024311",
            "telephone_number": "347-525-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504990",
            "telephone_number": "260-266-2020",
            "fax_number": "812-944-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRO",
        "first_name": "VIKTOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "305464",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01078521A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD24890",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "Q7582",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "59974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8LV207",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "EPIC FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmiro829645@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "vmiro829645@direct.casso.us.com",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.