Egbert Miranda, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

H7792 Issued in TX

Practice address

5934 S Staples St Ste 205
Corpus Christi, TX 78413-3842

Phone

(361) 991-5520

Fax

(361) 991-5521

NPI assigned

Jan 23, 2006

Last updated

Feb 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

EndocrinologyAlso: Internal Medicine

Education

Ponce School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJIBBA/Endpoint/DJIBBA

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.

• Egbert Miranda Mdpa

  • Endocrinology, Diabetes & Metabolism Physician
  • Corpus Christi, TX
  • NPI 1366537201
  Medicare reassignment Authorized official
• Egbert Miranda M.D. P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • Corpus Christi, TX
  • NPI 1629365820
  NPD Authorized official
• A. Lee Guinn Jr., MD PA

  dba Longevity & Wellness Center of South Texas

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1295749588
  NPD (past)
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Southwest Medical Associates, Inc.

  • Emergency Medicine Physician
  • Electra, TX
  • NPI 1831299122
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1093785230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5934 S STAPLES ST STE 205",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133842",
            "telephone_number": "361-991-5520",
            "fax_number": "361-991-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 S STAPLES ST STE 205",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133842",
            "telephone_number": "361-991-5520",
            "fax_number": "361-991-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "EGBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H7792",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "H7792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093785230",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI #",
            "identifier": "153378801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Minners
• Joshua Sol Mintz, MD
• Michael Lewis Mintz, M.D.
• Katie Miotti, FNP-BC
• Asal Mir Bolouki Sabet
• Damian Abner Mireles, PHARM.D.
• Leela Krishna Vamsee Miriyala, MD
• Alyssa Miro, APRN
• Lofton N Misick, MD
• Mitchell Chiropractic Clinic

• Endocrinology, Diabetes & Metabolism Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.