Active NPI
Mary Ann V Miranda, MD
- Allergy & Immunology (Internal Medicine) Physician
- Harker Heights, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- N5247
- Practice address
- 2025 Memory LN Ste 400a
Harker Heights, TX 76548-7488 - Phone
- (254) 435-4995
- Fax
- (254) 432-5952
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25323 | OK | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | N5247 | TX | Primary |
Addresses
Primary practice location
2025 Memory LN Ste 400a
Harker Heights, TX 76548-7488
Mailing address
303 W Main St
Round Rock, TX 78664-5246
Phone (512) 732-2774
Other practice location 1
2027 S 61st St Ste 108
Temple, TX 76504-6856
Phone (254) 773-8916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
469 Hwy 50
Gillette, WY 82718-9330
Phone (307) 387-9850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N5247 | TX | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoskinson Health & Wellness Clinic LLC | Internal Medicine | Current | Accepting new patients |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Hoskinson Health & Wellness Clinic LLC | Current | Accepting new patients | |
| St. John Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Inpatient Consultants of Texas, PLLC | Internal Medicine | Past | Accepting new patients |
| Paul Scibielski MD PA | Past | Accepting new patients |
Locations
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850
Interoperability endpoints
- mmiranda742571@direct.hopkinsmedicine.org
- https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4
- mary.ann.miranda.1@26742.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Gillette, WY
- NPI 1376280750
Internal Medicine
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Gillette, WY
- NPI 1003628611
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Allergy & Immunology Physician
- West Lake Hills, TX
- NPI 1457621740
-
- Hospitalist Physician
- Edmond, OK
- NPI 1144274655
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1972536597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W MAIN ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786645246",
"telephone_number": "512-732-2774",
"fax_number": "512-344-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 MEMORY LN STE 400A",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765487488",
"telephone_number": "254-435-4995",
"fax_number": "254-432-5952"
}
],
"practiceLocations": [
{
"address_1": "2027 S 61st St Ste 108",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765046856",
"country_code": "US",
"telephone_number": "254-773-8916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRANDA",
"first_name": "MARY ANN",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2024-08-15",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "25323",
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "TX",
"license": "N5247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harker Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.