Active NPI
Isabela Miradici, PA
- Physician Assistant
- Daytona Beach, FL
National Provider Identifier
1851059547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9116027
- Practice address
- 305 Memorial Medical Pkwy Ste 501
Daytona Beach, FL 32117-5170 - Phone
- (386) 615-0900
- Fax
- (386) 615-0902
- NPI assigned
- Nov 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | PA9116027 | FL | Primary |
Addresses
Primary practice location
305 Memorial Medical Pkwy Ste 501
Daytona Beach, FL 32117-5170
Mailing address
305 Memorial Medical Pkwy Ste 501
Daytona Beach, FL 32117-5170
Phone (386) 615-0900
Other practice location 1
3 Pine Cone Dr Ste 106
Palm Coast, FL 32137-8684
Phone (386) 615-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9116027 | Other | FL | PA LICENSE |
Other names 1
- Isabela Dominici
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3 Pine Cone Dr
Suite 106
Palm Coast, FL 32137-8684
Phone (386) 585-4463
305 Memorial Medical Pkwy
Suite 501
Daytona Beach, FL 32117-5170
Phone (386) 615-0900
4883 Palm Coast Pkwy NW
Unit 5
Palm Coast, FL 32137-3675
Phone (386) 615-0900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.68 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9116027 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Heart Group PL | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Daytona Beach, FL
- NPI 1790081321
-
- Cardiovascular Disease Physician
- Daytona Beach, FL
- NPI 1720247984
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1851059547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 MEMORIAL MEDICAL PKWY STE 501",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175170",
"telephone_number": "386-615-0900",
"fax_number": "386-615-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MEMORIAL MEDICAL PKWY STE 501",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175170",
"telephone_number": "386-615-0900",
"fax_number": "386-615-0902"
}
],
"practiceLocations": [
{
"address_1": "3 Pine Cone Dr Ste 106",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "321378684",
"country_code": "US",
"telephone_number": "386-615-0900",
"fax_number": "386-615-0902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRADICI",
"first_name": "ISABELA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9116027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "PA9116027",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ISABELA",
"last_name": "DOMINICI",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.