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

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

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Imelda Miranda, M.d. NPPES

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

IMELDA MIRANDA, M.D. (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, M.d., as its authorized official.

NPPES Registry Identity

NPI1003090812
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIMELDA MIRANDA, M.D.
Location Address7611 S OSBORNE RDUpper Marlboro, MD 20772-4200
Mailing AddressPo Box 2238Upper Marlboro, MD 20773-2238 · (301) 952-8401 · Fax (301) 952-8464
Phone(301) 952-8401
Fax(301) 952-8464
Organization SubpartNo
Authorized OfficialImelda R MirandaM.d. · (301) 952-8401
Enumeration DateDecember 28, 2007
✔ 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 S OSBORNE RD, Upper Marlboro, MD 20772
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Other Identifiers 2

Medicare PING01248DC
Medicare UPINF71006MD

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 Miranda, M.d. 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 Miranda, M.D., which bills Medicare for the services this clinician delivers.

Clinician (1)

Imelda Miranda, M.D.
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0951392

Imelda R Miranda MD · Upper Marlboro, MD
Expired · Sep 16, 2026
CLIA Number21D0951392
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorImelda R. Miranda MD
Laboratory Phone(301) 599-8584
Laboratory LocationImelda R Miranda MD7611 S Osborne Road Ste 106, Upper Marlboro, MD 20772
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Miranda, M.D.'s NPI number?

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

Where is Imelda Miranda, M.D. located?

Imelda Miranda, M.D. is located at 7611 S Osborne Rd, Upper Marlboro, MD 20772. The listed phone number is (301) 952-8401.

What is Imelda Miranda, M.D.'s specialty?

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

Is Imelda Miranda, M.D. enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Imelda Miranda, M.D.. 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 Miranda, M.D. was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.