Philip C. Mirmelli, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME25815 Issued in FL

Practice address

400 Arthur Godfrey Rd
Suite 504
Miami Beach, FL 33140-3516

Phone

(305) 538-8339

Fax

(305) 538-4907

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

University of Miami, LM Miller School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Asthma Associates of South Florida PAGroup PAC ID 2365340908, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Allergy & Asthma Associates of South Florida PA

  • Allergy & Immunology Physician
  • Miami, FL
  • NPI 1093779696
  Medicare reassignment Care Compare group NPD
• Allergy & Asthma Associates of South Florida PA

  • Allergy & Immunology Physician
  • Pembroke Pines, FL
  • NPI 1912164211
  NPD

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1982667705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST",
            "address_2": "SUITE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-223-8808",
            "fax_number": "305-223-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ARTHUR GODFREY RD",
            "address_2": "SUITE 504",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403516",
            "telephone_number": "305-538-8339",
            "fax_number": "305-538-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRMELLI",
        "first_name": "PHILIP",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME25815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "78527Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375593200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "78527N",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Miralles
• Marilyn Miralles
• Marlon Miranda Hernandez
• Altagracia Miranda, MD
• Dayron Miranda
• Deepika Misra, M.D.,
• Florencia Mitchell, MD
• Greta Mitzova-Vladinov, CRNA
• Luis Alberto Moas, MD
• Mobile Physicians Team Management LLC

• Allergy & Immunology Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.

Verify at the official NPI Registry.