Active NPI
Ricardo Aaron Miranda, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- R8430
- Practice address
- 12222 N Central Expy # 150
Dallas, TX 75243-3755 - Phone
- (469) 298-1444
- Fax
- (918) 403-6335
- NPI assigned
- Aug 13, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 31335 | OK | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | R8430 | TX | Primary |
Addresses
Primary practice location
12222 N Central Expy # 150
Dallas, TX 75243-3755
Mailing address
504 N Reo St
Tampa, FL 33609-1013
Phone (813) 549-2134
Other practice location 1
710 W Leuda St
Fort Worth, TX 76104-3114
Phone (817) 702-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200599300A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100
4001 Worth St
Dallas, TX 75246-1608
710 W Leuda St
Fort Worth, TX 76104-3114
Phone (817) 702-8476
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31335 | OK | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| R8430 | TX | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Texas Pain Relief Group PLLC | Past | Accepting new patients |
Locations
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
8131 S Memorial Dr
Ste 100
Tulsa, OK 74133
Phone (918) 200-9944
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
710 W Leuda St
Ft Worth, TX 76104
Phone (817) 702-5958
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
dba Texas Primary Care Group
- Family Nurse Practitioner
- Hurst, TX
- NPI 1396128328
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
dba JPS Health Network
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1083929087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 N REO ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336091013",
"telephone_number": "813-549-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 N CENTRAL EXPY # 150",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433755",
"telephone_number": "469-298-1444",
"fax_number": "918-403-6335"
}
],
"practiceLocations": [
{
"address_1": "710 W Leuda St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761043114",
"country_code": "US",
"telephone_number": "817-702-8300",
"fax_number": "817-702-8499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRANDA",
"first_name": "RICARDO",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-13",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "OK",
"license": "31335",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "R8430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200599300A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.