Charles Paul Mirabile Jr., MD

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

20629 Issued in OK

Practice address

4140 W Memorial Rd
Ste 321
Oklahoma City, OK 73120

Phone

(405) 748-4726

Fax

(405) 607-8497

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, TX, AR3 enrollments

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 3

Specialty

Obstetrics/Gynecology

Education

New York Medical College, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Perinatal Center, PLLCGroup PAC ID 1153302120, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: perinatalcenterofoklahoma.charlesmirabile@111704.advancedmd-direct.com
• Direct secure messaging: cmirabile266180@ahs.direct-ci.com

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.

• The Perinatal Center, PLLC

  • Maternal & Fetal Medicine Physician
  • Oklahoma City, OK
  • NPI 1942217815

  AR

  Medicare reassignment Care Compare group
• Chickasaw Nation Division of Health

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1255364923

  TX

  Medicare reassignment NPD
• Chickasaw Nation Division of Health

  • Primary Care Clinic/Center
  • Ardmore, OK
  • NPI 1730249186
  NPD
• Chickasaw Nation Division of Health

  • Home Health Agency
  • Ada, OK
  • NPI 1811739071
  NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1326063017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "STE 321",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208300",
            "telephone_number": "405-748-4726",
            "fax_number": "405-607-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "STE 321",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-748-4726",
            "fax_number": "405-607-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABILE",
        "first_name": "CHARLES",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OK",
            "license": "20629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100821300A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Laura Ann Minshall
• Quentin John Minson, PHARM.D.
• Noah Minton, BCBA
• Rebecca R Mints, OTR/L
• Arshid Majeed Mir, M.D
• Miranda Counseling LLC
• Amalia Maria Miranda, MD
• Francis Joseph Miranda, D.D.S, M.ED., M.B.A.
• Miraworx of Okc 1 LLC
• Scott Mirgeler, PHARM.D,

• Maternal & Fetal Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Maternal & Fetal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.

Verify at the official NPI Registry.