Active NPI
Andre Filipe Miranda, MD
- Urology Physician
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25MA12510800
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amiranda490096@directwellstar.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Thomas Jefferson University Hospital
- Wellstar West Georgia Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12510800 | NJ | MD | Urology Physician |
| MD490920 | PA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Medical Group Practice PC | Current | Accepting new patients | |
| Kennedy Medical Group P.C. | Current | Accepting new patients | |
| Kennedy Medical Group Practice P.C. | Past | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Past | 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
- 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.
-
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Psychologist
- Voorhees, NJ
- NPI 1609314004
-
- Family Medicine Physician
- Sewell, NJ
- NPI 1952848905
-
- Family Medicine Physician
- West Deptford, NJ
- NPI 1952615981
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
-
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.