Active NPI
Richard H Miranda, M.D.
- Internal Medicine Physician
- Denver, CO
National Provider Identifier
1174534796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 40540
- Practice address
- 1960 Ogden St
Suite 400
Denver, CO 80218-3666 - Phone
- (303) 318-1540
- Fax
- (303) 318-2479
- NPI assigned
- Aug 10, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 40540 | CO | Primary |
| Pediatrics Physician | 208000000X | 40540 | CO | |
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 40540 | CO |
Addresses
Primary practice location
1960 Ogden St
Suite 400
Denver, CO 80218-3666
Mailing address
1719 E 19TH Ave
Suite 500
Denver, CO 80218-1235
Phone (303) 869-2160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29352266 | Medicaid | CO | |
| 49280732 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100607000931 | CO | Practitioner - Pediatric Medicine | 6204966955 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Perelman School of Med at the University of Pennsylvania, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1960 N Ogden St
400 Caritas Internal Medicine
Denver, CO 80218-3670
Phone (303) 318-1540
Hospital & facility affiliations
- Saint Joseph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uptown Community Health Center Inc | Current | Accepting new patients | |
| Saint Joseph Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Saint Joseph Hospital Inc | Current | Accepting new patients | |
| Saint Joseph Hospital, Inc | Current | Accepting new patients | |
| Uptown Community Health Center Inc | Internal Medicine | Current | Accepting new patients |
| Uptown Community Health Center Inc | Current | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750
1960 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-1540
1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500
1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000
Interoperability endpoints
- rmiranda12533@direct.intermountainhealth.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.
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-
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-
- Federally Qualified Health Center (FQHC)
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- NPI 1619844669
-
- Internal Medicine Physician
- Denver, CO
- NPI 1841933223
Internal Medicine
Hospital & facility affiliations 4
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": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1174534796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 E 19TH AVE",
"address_2": "SUITE 500",
"city": "DENVER",
"state": "CO",
"postal_code": "802181235",
"telephone_number": "303-869-2160",
"fax_number": "303-869-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 OGDEN ST",
"address_2": "SUITE 400",
"city": "DENVER",
"state": "CO",
"postal_code": "802183666",
"telephone_number": "303-318-1540",
"fax_number": "303-318-2479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "RICHARD",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "40540",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "40540",
"primary": false
},
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "CO",
"license": "40540",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29352266",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49280732",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.