Active NPI
Fernando E Miranda Sr., M.D. , P. A. ,
- Surgery Physician
- Pasadena, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- L6528
- Practice address
- 4301B Vista Rd
#100
Pasadena, TX 77504-2117 - Phone
- (713) 960-0590
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | L6528 | TX | Primary |
Addresses
Primary practice location
4301B Vista Rd
#100
Pasadena, TX 77504-2117
Mailing address
PO Box 205732
Dallas, TX 75320-5732
Phone (713) 960-0590
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Pennsylvania State University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6259
11920 Astoria Blvd
Suite 350
Houston, TX 77089-6155
Phone (281) 929-4420
16100 S Fwy
Pearland, TX 77584-1895
Phone (713) 413-6941
16100 S Fwy N3 172
Pearland, TX 77584-1895
Phone (713) 413-5738
3203 Broadway St
Pearland, TX 77581-1414
Phone (281) 485-8876
915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6528 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Surgery | Current | Accepting new patients |
Locations
1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
11920 Astoria Blvd
Ste 350
Houston, TX 77089
Phone (281) 929-4420
1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781
3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876
Interoperability endpoints
- fmiranda66330@memorialhermann.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Houston, TX
- NPI 1346377728
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MHHS NW Radiation Therapy
- Radiology Clinic/Center
- Houston, TX
- NPI 1013948553
Hospital
-
dba MHHS Woodlands Outpatient Imaging System
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1275564858
Hospital
-
dba Memorial Hermann Outpatient Imaging-Southwest
- Radiology Clinic/Center
- Houston, TX
- NPI 1407959448
Hospital
-
dba MHHS Friendswood Imaging
- Radiology Clinic/Center
- Friendswood, TX
- NPI 1508896267
Hospital
-
dba MHHS Pearland Outpatient Imaging Center
- Radiology Clinic/Center
- Pearland, TX
- NPI 1669402335
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1205879822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 205732",
"city": "DALLAS",
"state": "TX",
"postal_code": "753205732",
"telephone_number": "713-960-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301B VISTA RD",
"address_2": "#100",
"city": "PASADENA",
"state": "TX",
"postal_code": "775042117",
"telephone_number": "713-960-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "FERNANDO",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D. , P. A. ,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "L6528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.