Marvi Miranda, M.D.
Individual provider Active NPI General Practice Physician · Delhi, CA
NPI 1609265602 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1609265602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- A143356 (CA)
- Practice address
- 9696 Stephens St
Delhi, CA 95315-9550 - Phone
- (209) 667-0702
- Fax
- (209) 667-6737
- NPI assigned
- Jan 13, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Merced Faculty Associates Medical Group Incorporated
Practice addresses (Care Compare)
1675 Shaffer Rd
Atwater, CA 95301-4456
Phone (209) 383-5500
9696 Stephens St
Delhi, CA 95315-9550
Phone (209) 667-0702
Hospital & facility affiliations
- Mercy Home Care
- Covenant Care at Home
- Careone Home Health and Hospice, Inc
- Mercy Medical Center
- Emanuel Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160825002665 | CA | Practitioner - Family Practice | 5294020517 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A143356 | CA | MD | General Practice Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced Faculty Associates Medical Group Incorporated | Current | Accepting new patients | |
| Merced Faculty Associates Medical Group, Incorporated | Current |
Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
1675 Shaffer Rd
Atwater, CA 95301
Phone (209) 357-5121
3605 Hospital Rd
Atwater, CA 95301
Phone (209) 381-2000
9696 Stephens St
Delhi, CA 95315
Phone (209) 667-0702
374 W Olive Ave
Ste A
Merced, CA 95348
Phone (209) 205-1001
535 W 25th St
Merced, CA 95340
Phone (209) 722-9066
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/3012/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| General Practice Physician | 208D00000X | A143356 | CA | Yes |
Addresses
Primary practice location
9696 Stephens St
Delhi, CA 95315-9550
Mailing address
PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149
Other practice location 1
3605 Hospital Rd
Atwater, CA 95301-5173
Phone (209) 723-3704
Other practice location 2
374 W Olive Ave Ste A
Merced, CA 95348-3181
Phone (209) 384-5766
Other practice location 3
1675 Shaffer Rd
Atwater, CA 95301-4456
Phone (209) 383-5500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marvi.miranda.1@3012.direct.athenahealth.com | Direct | |
| Direct Messaging Address | marvi.miranda.1@3012.direct.athenahealth.com | Direct |
Other providers in Delhi, CA
- Amandeep Kaur
- Lumira Healthcare
- Jaqueline Martin
- Anna Marie Medefind
- Merced Faculty Associates Medical Group Incorporated
- Karen L Murata
- Janell Ochoa
- Point Two Five Inc
- Kimberly Ann Snethen
- Marion Joseph Sniezek
All providers in Delhi, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.