Active NPI
Rainnier Dwight Mira, PA-S
- Physician Assistant
- Alexandria, LA
National Provider Identifier
1346894722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3444 Masonic Dr
Alexandria, LA 71301-3615 - Phone
- (318) 473-9556
- Fax
- (318) 441-8329
- NPI assigned
- Jul 24, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3444 Masonic Dr
Alexandria, LA 71301-3615
Mailing address
3444 Masonic Dr
Alexandria, LA 71301-3615
Phone (318) 473-9556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000
Hospital & facility affiliations
- University Medical Center New Orleans
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 88.07
- Improvement activities
- 40
- Cost
- 74.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Center Management Corporation | Current | Accepting new patients |
Locations
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
Organizations & group practices 3
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.
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1083655567
-
- Psychiatry Physician
- Metairie, LA
- NPI 1609001999
-
- Psychiatric Hospital Unit
- New Orleans, LA
- NPI 1144261728
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1568403111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1346894722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3444 MASONIC DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013615",
"telephone_number": "318-473-9556",
"fax_number": "318-441-8329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3444 MASONIC DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013615",
"telephone_number": "318-473-9556",
"fax_number": "318-441-8329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRA",
"first_name": "RAINNIER",
"middle_name": "DWIGHT",
"credential": "PA-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-24",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.