Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IMELDA R. MIRANDA M.D PC
NPI 1003090812
Internal Medicine in Upper Marlboro, MD

Active since December 28, 2007
7611 SO. OSBORNE, STE 106, UPPER MARLBORO, MD 20772(301) 952-8401(301) 952-8464 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Imelda R. Miranda M.d Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMELDA R. MIRANDA M.D PC (NPI 1003090812) is a healthcare organization registered as an internal medicine in Upper Marlboro, Maryland and active in the NPI registry since December 2007. The organization lists Imelda R Miranda, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1003090812
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIMELDA R. MIRANDA M.D PC
Location Address7611 SO. OSBORNE, STE 106Upper Marlboro, MD 20772
Mailing Address7611 So. Osborne, Ste 106Upper Marlboro, MD 20772 · (301) 952-8401 · Fax (301) 952-8464
Fax(301) 952-8464
Organization SubpartNo
Authorized OfficialImelda R MirandaPhysician/owner · (301) 952-8401
Enumeration DateDecember 28, 2007
Last NPPES UpdateOctober 28, 2026
✔ NPI 1003090812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0043276
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7611 SO. OSBORNE, Upper Marlboro, MD 20772

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imelda R. Miranda M.d Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Imelda R. Miranda M.D PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1578510681
7611 S OSBORNE RD STE 106
Upper Marlboro, MD 20772
(301) 952-8401
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imelda R. Miranda M.D PC's NPI number?

The NPI number for Imelda R. Miranda M.D PC is 1003090812. It was assigned to this organization in the NPPES registry on December 28, 2007.

Where is Imelda R. Miranda M.D PC located?

Imelda R. Miranda M.D PC is located at 7611 So. Osborne Ste 106, Upper Marlboro, MD 20772. The listed phone number is (301) 952-8401.

What is Imelda R. Miranda M.D PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Imelda R. Miranda M.D PC enrolled in Medicare?

Yes. Imelda R. Miranda M.D PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Imelda R. Miranda M.D PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Imelda R. Miranda M.D PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Imelda R. Miranda M.D PC was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.