Active NPI
Justin A Miranda, M.D.
- Pediatric Anesthesiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- R1832
- Practice address
- 6431 Fannin St
MSB 5.020
Houston, TX 77030-1501 - Phone
- (713) 500-6200
- Fax
- (713) 500-6208
- NPI assigned
- Aug 1, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Anesthesiology Physician | 207LP3000X | R1832 | TX | Primary |
Addresses
Primary practice location
6431 Fannin St
MSB 5.020
Houston, TX 77030-1501
Mailing address
6431 Fannin St
MSB 5.020
Houston, TX 77030-1501
Phone (713) 500-6200
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U. S. Anesthesia Partners of Texas, P.a., | Current | Accepting new patients | |
| Tejas Anesthesia PLLC | Current | Accepting new patients | |
| Tejas Anesthesia PLLC | Pediatric Anesthesiology | Current | Accepting new patients |
| U S Anesthesia Partners of Texas, PA | Current | Accepting new patients |
Locations
6431 Fannin St
#5020
Houston, TX 77030
Phone (713) 500-6200
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000
4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555
10999 W Interstate 10
Ste 903
San Antonio, TX 78230
Phone (210) 375-7790
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- League City, TX
- NPI 1659383305
Pediatric Anesthesiology
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1659027910
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488067200000",
"number": "1356697965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN ST",
"address_2": "MSB 5.020",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-6200",
"fax_number": "713-500-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6431 FANNIN ST",
"address_2": "MSB 5.020",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-6200",
"fax_number": "713-500-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "JUSTIN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-01",
"last_updated": "2017-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "TX",
"license": "R1832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2017; 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.