Individual provider Active NPI

Altory Musni Miranda Jr., MD

  • General Practice Physician
  • Moseley, VA
National Provider Identifier
1871891507
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101249211 Issued in VA
Practice address
16313 Falconers Ter
Moseley, VA 23120-1655
Phone
(804) 554-6134
Fax
(410) 569-7137
NPI assigned
Mar 3, 2011
Last updated
Nov 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101249211 VA Primary

Addresses

Primary practice location

16313 Falconers Ter
Moseley, VA 23120-1655

Mailing address

16313 Falconers Ter
Moseley, VA 23120-1655
Phone (804) 554-6134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110531000167 VA Practitioner - Internal MedicinePractitioner - General Practice 5991988438 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melodys Consulting LLCGroup PAC ID 5092053694, 15 clinicians

Practice addresses (Care Compare)

Moseley, VA 23120
Phone (804) 554-6134

500 Masonic LN
Richmond, VA 23223-5557
Phone (804) 222-1694

9460 Amberdale Dr
Suite G2
North Chesterfield, VA 23236-1259
Phone (804) 728-2278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.05 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WFS Home Care Enterprises, Inc. Dba at Home Harmony Pharmacy LTC CurrentSince May 25, 2022 Accepting new patients
Care Alternatives of Virginia LLC CurrentSince Jun 2, 2021 Accepting new patients
Melodys Consulting LLC CurrentSince Jul 2, 2023 Accepting new patients
Affinity Palliative of Virginia LLC CurrentSince Mar 19, 2021 Accepting new patients
Affinity Care of Virginia LLC CurrentSince Mar 19, 2021 Accepting new patients
Home Health Care Services of Virginia, LLC PastSince Jun 2, 2021 Accepting new patients

Locations

65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068

10571 Telegraph Rd
Ste 203
Glen Allen, VA 23059
Phone (804) 673-1330

1504 Santa Rosa Rd
Rm 116
Henrico, VA 23229
Phone (804) 210-3103

714 Thimble Shoals Blvd
Ste C
Newport News, VA 23606
Phone (757) 330-8050

9460 Amberdale Dr
Ste G2
North Chesterfield, VA 23236
Phone (804) 728-2278

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascend HospiceGlen Allen, VA, CCN 491595 Hospice W-2 Managing Employee (100%) Aug 30, 2018
Personal Touch Hospice of Virginia, IncNewport News, VA, CCN 491526 Hospice Contracted Managing Employee Aug 22, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1871891507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16313 FALCONERS TER",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231201655",
            "telephone_number": "804-554-6134",
            "fax_number": "410-569-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16313 FALCONERS TER",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231201655",
            "telephone_number": "804-554-6134",
            "fax_number": "410-569-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ALTORY",
        "middle_name": "MUSNI",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-03",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101249211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moseley, VA

Sources for this page

Verify at the official NPI Registry.