Active NPI
Jorge Alberto Miranda
- Vascular Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- T1153
- Practice address
- 1504 Taub Loop
Houston, TX 77030-1608 - Phone
- (173) 798-1000
- NPI assigned
- Mar 27, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | T1153 | TX | |
| Surgical Critical Care Physician | 2086S0102X | T1153 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular Surgery Physician | 2086S0129X | T1153 | TX | Primary |
Addresses
Primary practice location
1504 Taub Loop
Houston, TX 77030-1608
Mailing address
1 Baylor PLZ
Houston, TX 77030-3411
Other practice location 1
7200 Cambridge St
Houston, TX 77030-4202
Phone (713) 798-3967
Other practice location 2
1 Baylor Plz
Houston, TX 77030-3411
Phone (915) 540-8612
Other practice location 3
1327 Lake Pointe Pkwy Ste 305
Sugar Land, TX 77478-4394
Phone (713) 798-3520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Texas Tech University Health Science Center School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000
7200 Cambridge St
FL 10
Houston, TX 77030-4202
Phone (713) 798-1000
Hospital & facility affiliations
- Baylor St Lukes Medical Center
- Harris Health
- St Luke'S Sugar Land Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 36 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T1153 | TX | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Surgery | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Texas Heart Medical Group | Surgery | Current | Accepting new patients |
| Texas Heart Medical Group | Surgery | Current | Accepting new patients |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Locations
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
7200 Cambridge St
Houston, TX 77030
Phone (713) 798-2400
7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2
6624 Fannin St
Ste 2600
Houston, TX 77030
Phone (713) 790-1818
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
1101 Bates Ave
#P115
Houston, TX 77030
Phone (832) 355-4900
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
1327 Lake Pointe Pkwy
Ste 305
Sugar Land, TX 77478
Phone (281) 637-7690
17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645
1 Baylor Plz
Va Hospital, TX 77030
Phone (713) 798-5588
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- Surgery Physician
- Houston, TX
- NPI 1225764301
-
- Specialist
- Houston, TX
- NPI 1437242617
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1184622847
-
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1659559573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1922503598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 TAUB LOOP",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301608",
"telephone_number": "173-798-1000"
}
],
"practiceLocations": [
{
"address_1": "7200 Cambridge St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770304202",
"country_code": "US",
"telephone_number": "713-798-3967",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Baylor Plz",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "915-540-8612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1327 Lake Pointe Pkwy Ste 305",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774784394",
"country_code": "US",
"telephone_number": "713-798-3520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRANDA",
"first_name": "JORGE",
"middle_name": "ALBERTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-27",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "T1153",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "T1153",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "T1153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.