Individual provider Active NPI

Jorge Alberto Miranda

  • Vascular Surgery Physician
  • Houston, TX
National Provider Identifier
1922503598
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
T1153 Issued in TX
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

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514002109 TX Practitioner - Vascular Surgery 2567803158 Reassigns benefits to 2 organizations

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
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

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 Hospital, Houston, TX, CCN 450193
  • Harris Health Hospital, Houston, TX, CCN 450289
  • St Luke'S Sugar Land Hospital Hospital, Sugar Land, TX, CCN 670053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)36
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1153TXMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jul 1, 2024 Accepting new patients
Baylor College of Medicine Surgery CurrentSince Jul 1, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2024 Accepting new patients
Texas Heart Medical Group Surgery CurrentSince Sep 3, 2024 Accepting new patients
Texas Heart Medical Group Surgery CurrentSince Sep 3, 2024 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.