Didem Miraloglu, M.D., M.S.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

233008 Issued in NY

Practice address

156 West Ave
Suite 106
Brockport, NY 14420-1229

Phone

(585) 637-7558

Fax

(585) 637-7566

NPI assigned

Jan 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 2, 2021 through Sep 2, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

Practice roles

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.

• Internal Medicine at Lakeside

  • Internal Medicine Physician
  • Brockport, NY
  • NPI 1083939722
  NPD (past)
• University of Rochester

  dba Strong Memorial Hospital MD Group

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1821152588
  NPD (past)
• Duke University Affiliated Physicians, Inc.

  dba Oxford Family Physicians

  • Family Medicine Physician
  • Oxford, NC
  • NPI 1124057484
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1942271218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 278980",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-637-7558",
            "fax_number": "585-637-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "address_2": "SUITE 106",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "585-637-7558",
            "fax_number": "585-637-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRALOGLU",
        "first_name": "DIDEM",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02649347",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Middleton, PT
• Laura L Miles, LPN
• Michael Mark Militello, ATC
• Christina Miller-Lesniak
• Casey Lynn Miller, FNP-C
• Marc Brett Mishkin, MD
• Zachary Mistretta
• Anthony Montalbano, R.PH
• Erich Montfort
• Andrea Marcela Morales-Ross, DDS

• Internal Medicine Physician in Brockport, NY
• Providers in Brockport, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.