Individual provider Active NPI

Melissa Ortiz Miranda, M.D.

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1295063089
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME117282 Issued in FL
Practice address
431 W Oak St
Kissimmee, FL 34741-6627
Phone
(407) 845-0330
NPI assigned
Dec 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME117282 FL Primary

Addresses

Primary practice location

431 W Oak St
Kissimmee, FL 34741-6627

Mailing address

6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027
Phone (407) 845-0330

Other practice location 1

4543 Pleasnt Hl Rd
Ste A
Kissimmee, FL 34759-3403
Phone (407) 933-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130926000287 FL Practitioner - Internal Medicine 0143464479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12200 W Colonial Dr
Suite 202
Winter Garden, FL 34787-4132
Phone (321) 270-5976

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117282FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Vitas Medical LLC CurrentSince Jan 4, 2023 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients

Locations

5979 Vineland Rd
Ste 209
Orlando, FL 32819
Phone (407) 250-5030

12200 W Colonial Dr
Ste 202
Winter Garden, FL 34787
Phone (321) 270-5976

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFAICD/Endpoint/DFAICD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1295063089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416627",
            "telephone_number": "407-845-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4543 Pleasnt Hl Rd",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593403",
            "country_code": "US",
            "telephone_number": "407-933-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ MIRANDA",
        "first_name": "MELISSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME117282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.