NPIMap

Individual provider Active NPI

Fernando L Miranda, MD

  • Specialist
  • Winter Haven, FL
National Provider Identifier
1871546549
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME69239 Issued in FL
Practice address
50 2ND St SE
Winter Haven, FL 33880-6300
Phone
(863) 293-2107
Fax
(863) 298-8487
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME69239 FL Primary

Addresses

Primary practice location

50 2ND St SE
Winter Haven, FL 33880-6300

Mailing address

50 2ND St SE
Winter Haven, FL 33880-6300
Phone (863) 293-2107

Other identifiers 1

IdentifierTypeStateIssuer
257540000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000125 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 6507801214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
State University of Iowa College of Homeopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology and Neurosurgery AssociatesGroup PAC ID 9537053947, 2 clinicians

Practice addresses (Care Compare)

180 Ave a SE
Winter Haven, FL 33880-6301
Phone (863) 293-2107

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Winter Haven, FL, CCN 107007
  • Pinnacle Home Care Home health agency, Winter Haven, FL, CCN 108262
  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
  • Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157
  • Bartow Regional Medical Center Hospital, Bartow, FL, CCN 100121

Merit-based Incentive Payment System (MIPS)

Final score
81.1 of 100Reported as group
Quality
63.67
Promoting interoperability
87
Improvement activities
40
Cost
78.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology& Neurosurgery Associates Specialist CurrentSince Jun 13, 2020 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Jul 2, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

50 2nd St SE
Winter Haven, FL 33880
Phone (863) 293-2107

180 Avenue A SE
Winter Haven, FL 33880
Phone (863) 293-2107

Interoperability endpoints

  • Direct secure messaging: fernando.miranda.p1@direct.neurohaven.nextgenshare.com
  • Direct secure messaging: fernando.miranda.1@18417.direct.athenahealth.com

Organizations & group practices 3

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 7

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1871546549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 2ND ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806300",
            "telephone_number": "863-293-2107",
            "fax_number": "863-298-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 2ND ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806300",
            "telephone_number": "863-293-2107",
            "fax_number": "863-298-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "FERNANDO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME69239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257540000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.