NPIMap

Organization Active NPI

Miracle Medical LLC

  • Family Medicine Physician
  • Cheverly, MD
National Provider Identifier
1225644701
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIRACLE MEDICAL LLC
Doing business as
Miracle Medical LLC
Practice address
6005 Landover Rd Ste 3
Cheverly, MD 20785-1145
Phone
(240) 603-0502
Fax
(443) 790-9236
NPI assigned
Sep 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Tiffany Altamaria Mapp, DONPI 1750680021
Title
Physicine
Phone
(240) 603-0502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Obstetrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VX0000X

Addresses

Primary practice location

6005 Landover Rd Ste 3
Cheverly, MD 20785-1145

Mailing address

6005 Landover Rd Ste 5
Cheverly, MD 20785-1145
Phone (240) 687-8690

Other identifiers 1

IdentifierTypeStateIssuer
766166500MedicaidMD

Other names 1

  • Miracle Medical LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210202002326 DC Part B Supplier - Clinic/Group Practice 7214341254 Receives reassigned benefits from 1 practitioner
Practice locations: Cheverly, MD

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22446/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1225644701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 LANDOVER RD STE 5",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851145",
            "telephone_number": "240-687-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 LANDOVER RD STE 3",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851145",
            "telephone_number": "240-603-0502",
            "fax_number": "443-790-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-19",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "MAPP",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ALTAMARIA",
        "authorized_official_title_or_position": "PHYSICINE",
        "authorized_official_telephone_number": "240-603-0502",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766166500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Medical LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheverly, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.