NPIMap

Individual provider Active NPI

Miguel Antonio Tirado, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1922072313
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203529 Issued in NY
Practice address
305 Seguine Ave
Suite 1
Staten Island, NY 10309-3730
Phone
(718) 967-8300
Fax
(718) 967-8335
NPI assigned
Feb 14, 2006
Last updated
Aug 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 203529 NY Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 203529 NY

Addresses

Primary practice location

305 Seguine Ave
Suite 1
Staten Island, NY 10309-3730

Mailing address

305 Seguine Ave
Suite 1
Staten Island, NY 10309-3730
Phone (718) 967-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060421000291 NY Practitioner - Internal Medicine 5294745113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richmond Primary Care Specialists PCGroup PAC ID 1658262308, 2 clinicians

Practice addresses (Care Compare)

305 Seguine Ave
Apt 1
Staten Island, NY 10309-3712
Phone (718) 967-8300

305 Seguine Ave
Suite 1
Staten Island, NY 10309-3730
Phone (718) 967-0330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203529NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miguel a. Tirado, MD PLLC Current Accepting new patients
Miguel a Tirado MD PLLC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
Carmel Richmond Nursing Home, Inc. Past Accepting new patients
University Physicians Group P C Internal Medicine Past Accepting new patients
Eger Health Care and Rehabilitation Center Past Accepting new patients
Staten Island University Hospital Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mtirado66462@northwell.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Carmel Richmond Nursing Home IncStaten Island, NY, CCN 335455 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 2, 2024
Feb 18, 2025

Owned or controlled facilities with NPI records 1

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 8

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1922072313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SEGUINE AVE",
            "address_2": "SUITE 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093730",
            "telephone_number": "718-967-8300",
            "fax_number": "718-967-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SEGUINE AVE",
            "address_2": "SUITE 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093730",
            "telephone_number": "718-967-8300",
            "fax_number": "718-967-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO",
        "first_name": "MIGUEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203529",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "203529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.