David Randall Mirich, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

6299 Issued in NV

Practice address

2950 S Maryland Pkwy
Las Vegas, NV 89109-2204

Phone

(702) 732-6000

Fax

(702) 243-7531

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV, UT2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sdmi, LLCGroup PAC ID 7911897053, 36 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.74 of 100Reported as group

Quality

82.05

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sdmi, LLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1568462034

  UT

  Medicare reassignment Care Compare group NPD
• Hoffman, MD, Associated Pathologists Chartered

  • Anatomic Pathology & Clinical Pathology Physician
  • Las Vegas, NV
  • NPI 1396810057
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1861492522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36900",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336900",
            "telephone_number": "702-732-6000",
            "fax_number": "702-243-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092204",
            "telephone_number": "702-732-6000",
            "fax_number": "702-243-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRICH",
        "first_name": "DAVID",
        "middle_name": "RANDALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "6299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200262805",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucia Mireles-Chavez, M.D.
• Geronimo Victorio Mireles
• Hunter Mickal Mireles, HM
• Izabel J Mireles
• Seyedqumars Mirfendereski, MD
• Odalys Mirizada
• Sarah Mirkhaef
• Kiarash L Mirkia, MD
• Mirkil Medical Group
• Jessica Faith Mirkil

• Diagnostic Radiology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.

Verify at the official NPI Registry.