Individual provider Active NPI

Andre Filipe Miranda, MD

  • Urology Physician
  • Cherry Hill, NJ
National Provider Identifier
1124549233
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA12510800 Issued in NJ
Practice address
2211 Chapel Ave W Ste 301
Cherry Hill, NJ 08002-2062
Phone
(856) 665-2017
NPI assigned
Jun 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA12510800 NJ Primary
Urology Physician 208800000X MD490920 PA

Addresses

Primary practice location

2211 Chapel Ave W Ste 301
Cherry Hill, NJ 08002-2062

Mailing address

1555 Doctors Dr Ste 101
Lagrange, GA 30240-4132
Phone (706) 803-7540

Other practice location 1

550 Isabel Dr Ste 2
Lebanon, PA 17042-7224
Phone (717) 675-1953

Other practice location 2

175 Martin Ave Ste 350
Ephrata, PA 17522-1763
Phone (717) 738-5632

Other practice location 3

1555 Doctors Dr Ste 101
LaGrange, GA 30240-4132
Phone (706) 803-7540

Other practice location 4

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amiranda490096@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NJ, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220608002014 GA Practitioner - Urology 2062784457
I20260108001985 NJ Practitioner - Urology 2062784457 Reassigns benefits to 1 organization
I20260513004516 PA Practitioner - Urology 2062784457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Kennedy Medical Group Practice, P.C.Group PAC ID 2860616877, 417 clinicians

Practice addresses (Care Compare)

1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 733-0311

2211 Chapel Ave W
301 Kha General Surgery
Cherry Hill, NJ 08002-2048
Phone (856) 665-2017

25 Monument Rd
York, PA 17403-5073

4 TH and Walnut STS
2ND Floor
Lebanon, PA 17042-6123
Phone (717) 270-3751

Hospital & facility affiliations

  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12510800NJMDUrology Physician
MD490920PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice PC CurrentSince Sep 26, 2025 Accepting new patients
Kennedy Medical Group P.C. CurrentSince Sep 26, 2025 Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients
Kennedy Medical Group Practice, P.C. PastSince Jun 15, 2021 Accepting new patients

Locations

2211 Chapel Ave W
Ste 301
Cherry Hill, NJ 08002
Phone (844) 309-7708

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

Interoperability endpoints

  • Direct secure messaging: amiranda81159@direct.phhs.org

Organizations & group practices 6

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 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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1124549233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR STE 101",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404132",
            "telephone_number": "706-803-7540",
            "fax_number": "706-803-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CHAPEL AVE W STE 301",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022062",
            "telephone_number": "856-665-2017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Isabel Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427224",
            "country_code": "US",
            "telephone_number": "717-675-1953",
            "fax_number": "717-675-1958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Martin Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221763",
            "country_code": "US",
            "telephone_number": "717-738-5632",
            "fax_number": "717-798-3248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Doctors Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302404132",
            "country_code": "US",
            "telephone_number": "706-803-7540",
            "fax_number": "706-803-8816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357709",
            "country_code": "US",
            "telephone_number": "214-590-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ANDRE FILIPE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA12510800",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD490920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amiranda490096@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1555 Doctors Dr Ste 101",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.