Cristina B. Miesch, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

42965 Issued in AL

Practice address

2316 7TH Ave S Ste 100
Birmingham, AL 35233-3215

Phone

(205) 251-4141

Fax

(205) 251-2004

NPI assigned

May 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cristina B. Leiva Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Childrens Medical Group P C

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1184771636
  NPD (past)

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1528558368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 7TH AVE S STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333215",
            "telephone_number": "205-251-4141",
            "fax_number": "205-251-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 7TH AVE S STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333215",
            "telephone_number": "205-251-4141",
            "fax_number": "205-251-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIESCH",
        "first_name": "CRISTINA",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "276142",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "42965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273391",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "LEIVA",
            "middle_name": "B.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mickey Gallardo Physical Therapy
• Mid-South Home Care Services, Inc.
• Middle Ground Mental Wellness, LLC
• Midsouth
• Midsouth a Gentiva Company
• Matthew Miesch, MD
• Leanne Mihata, M.D.
• Fady Mikhail, MD, PHD
• Margaret S Miklic, M.D.
• Elizabeth Sherota Milazzo, NP

• Pediatrics Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.