Individual provider Active NPI

Ray Cespedes Miranda, MD

  • Internal Medicine Physician
  • Woodside, NY
National Provider Identifier
1679507107
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
325336 Issued in LA
Practice address
57-18 Woodside Ave
2ND FL
Woodside, NY 11377
Phone
(718) 672-7702
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 217149 NY
Internal Medicine Physician 207R00000X 325336 LA Primary

Addresses

Primary practice location

57-18 Woodside Ave
2ND FL
Woodside, NY 11377

Mailing address

57-18 Woodside Ave
2ND FL
Woodside, NY 11377

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170706001953 TX Practitioner - Internal Medicine 3971609280 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Emergency Physicians PLLCGroup PAC ID 7810359759, 63 clinicians
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Practice addresses (Care Compare)

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

4000 Spencer Hwy
Pasadena, TX 77504-1202
Phone (713) 359-2000

Hospital & facility affiliations

  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Woodhull Medical & Mental Health Center Hospital, Brooklyn, NY, CCN 330396
  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
325336LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Texas Emergency Physicians, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Port Arthur Emergency Physicians CurrentSince May 22, 2017 Accepting new patients
Acute Care Specialists CurrentSince Nov 25, 2022 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Union Emergency Physicians, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Caritas Emergency Medical Services, PC Past Accepting new patients
Lifeco Medical, P.C. Past Accepting new patients
Delphi Healthcare PLLC Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Caritas Emergency Medical Services, PC Past Accepting new patients
Ray Miranda Medical Healthcare PC Internal Medicine PastSince Apr 22, 2010 Accepting new patients
CMC Radiological Services PC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1679507107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57-18 WOODSIDE AVE",
            "address_2": "2ND FL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57-18 WOODSIDE AVE",
            "address_2": "2ND FL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-672-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "RAY",
        "middle_name": "CESPEDES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217149",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "325336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.