Active NPI
Charles Miramonti, M.D.
- Emergency Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01054513
- Practice address
- 5926 Crawfordsville Rd Unit B
Indianapolis, IN 46224-3722 - Phone
- (317) 653-2730
- Fax
- (317) 321-1935
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01054513 | IN | Primary |
| Emergency Medicine Physician | 207P00000X | 25IA12475000 | NJ |
Addresses
Primary practice location
5926 Crawfordsville Rd Unit B
Indianapolis, IN 46224-3722
Mailing address
PO Box 746720
Atlanta, GA 30374-6720
Phone (312) 733-7303
Other practice location 1
11260 E Jefferson Ave
Detroit, MI 48214-3320
Phone (313) 749-0148
Other practice location 2
1000 S Elmora Ave
Elizabeth, NJ 07202-3100
Phone (908) 737-5703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200384150 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01054513 | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icem-Wishard LLC | Emergency Medicine | Current | Accepting new patients |
| Osh-NJ Physicians Group PC | Current | Accepting new patients | |
| Osh - PA Physicians Group, PC | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Past | Accepting new patients | |
| Emgi-Wishard | Emergency Medicine | Past | Accepting new patients |
| Oak Street Health Physicians Group, PC | Past | Accepting new patients | |
| Emergency Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| University Emergency Medicine | Emergency Medicine | Past | Accepting new patients |
| Osh-Mi Physicians Group PC | Past | Accepting new patients |
Locations
5911 Reliable Pkwy
Chicago, IL 60686
30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758
1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
1000 S Elmora Ave
Elizabeth, NJ 07202
Phone (908) 629-1265
3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484
951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000
Interoperability endpoints
- charles.miramonti@oakstreethealth.gwaydirect.com
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1629304134
-
- Primary Care Clinic/Center
- Philadelphia, PA
- NPI 1811405533
-
- Primary Care Clinic/Center
- Elizabeth, NJ
- NPI 1366944217
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1073570529
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1619178134
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1346281235
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1033766092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1922040922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746720",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746720",
"telephone_number": "312-733-7303",
"fax_number": "773-866-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5926 CRAWFORDSVILLE RD UNIT B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462243722",
"telephone_number": "317-653-2730",
"fax_number": "317-321-1935"
}
],
"practiceLocations": [
{
"address_1": "11260 E Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482143320",
"country_code": "US",
"telephone_number": "313-749-0148",
"fax_number": "313-263-3298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 S Elmora Ave",
"address_purpose": "LOCATION",
"city": "Elizabeth",
"state": "NJ",
"postal_code": "072023100",
"country_code": "US",
"telephone_number": "908-737-5703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRAMONTI",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01054513",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25IA12475000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200384150",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.