Individual provider Active NPI

Diego A Miranda, MD

  • Orthopaedic Hand Surgery Physician
  • Bossier City, LA
National Provider Identifier
1104845080
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
199959 Issued in LA
Practice address
2449 Hospital Drive
Suite 340
Bossier City, LA 71111
Phone
(318) 212-7841
Fax
(318) 212-7768
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 199959 LA Primary

Addresses

Primary practice location

2449 Hospital Drive
Suite 340
Bossier City, LA 71111

Mailing address

2449 Hospital Drive
Suite 340
Bossier City, LA 71111
Phone (318) 212-7841

Other identifiers 1

IdentifierTypeStateIssuer
1478997MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050328000675 LA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 8022076314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Bossier Orthopedic and SportsGroup PAC ID 6406951078, 12 clinicians

Practice addresses (Care Compare)

2449 Hospital Dr
Suite 340
Bossier City, LA 71111-1912
Phone (318) 212-7841

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Minden Medical Center Hospital, Minden, LA, CCN 190144
  • Springhill Medical Center Hospital, Springhill, LA, CCN 190088

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199959LAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Bossier Orthopedic & Sports CurrentSince Aug 1, 2008 Accepting new patients
Orthopaedic and Sports Medicine Specialist Past Accepting new patients

Locations

501 Medical Center Dr
Ste 4C
Alexandria, LA 71301
Phone (337) 371-3101

2449 Hospital Dr
Ste 200
Bossier City, LA 71111
Phone (318) 212-7841

2449 Hospital Dr
Ste 340
Bossier City, LA 71111
Phone (318) 212-7160

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

Interoperability endpoints

  • Direct secure messaging: dmiranda@direct.wkhs.com

Organizations & group practices 2

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 7

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1104845080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DRIVE",
            "address_2": "SUITE 340",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-212-7841",
            "fax_number": "318-212-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DRIVE",
            "address_2": "SUITE 340",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-212-7841",
            "fax_number": "318-212-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "DIEGO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "LA",
            "license": "199959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1478997",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.