MICHAEL J MIRRO MD
NPI 1053303222
Internal Medicine - Cardiovascular Disease in Fort Wayne, IN

Q: What is Michael Mirro's NPI number?

The NPI number for Michael Mirro is 1053303222. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Q: What is Michael Mirro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mirro was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 15, 2005PECOS Enrolled

11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(260) 266-5700(260) 266-5920 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael J Mirro Md NPPES

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

MICHAEL J MIRRO MD (NPI 1053303222) is an individual cardiovascular disease provider in Fort Wayne, Indiana, licensed in Indiana (01025414A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053303222

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMICHAEL J MIRROCredential: MD

Location Address11108 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1730

Mailing Address3926 New Vision DrFort Wayne, IN 46845-1712 · (260) 266-8213

Phone(260) 266-5700

Fax(260) 266-5920

Sole ProprietorNo

Enumeration DateAugust 15, 2005

Last NPPES UpdateApril 21, 2017

✔ NPI 1053303222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IN · 01025414A

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 01025414A (IN)

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 01025414A (IN)

11108 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

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Other Identifiers 10

Medicare PIN264380EIN

Medicaid0509079OH

Medicare UPIND94469IN

Medicaid100138540IN

Other000000641091IN · Anthem

Medicare PIN193590KIN

Medicare PIN193580LIN

OtherP00782366IN · R.r. Medicare

Other060070554IN · Rr Medicare

Medicare PIN060070554IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Mirro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON L DECKER

Nurse Practitioner

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

DAVID P LLOYD MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

11108 PARKVIEW CIRCLE DR, SUITE 5100
FORT WAYNE, IN 46845

Allen County (260) 266-2800

HOLLACE D CHASTAIN MD

Internal Medicine (Interventional Cardiology)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

DR. MARYAM NOURELDIN PHARMD, BCPS

Pharmacist (Ambulatory Care)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-4480

VAISHALI A PATEL

Nurse Practitioner

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

WILLIAM W WILSON MD

Internal Medicine (Cardiovascular Disease)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

DR. NOAH BUDI PHARMD.

Pharmacist (Ambulatory Care)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-4480

JAMES J HEGER MD

Internal Medicine (Cardiovascular Disease)

11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

Allen County (260) 266-5700

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 Michael Mirro's NPI number?

The NPI number for Michael Mirro is 1053303222. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Michael Mirro located?

Michael Mirro practices at 11108 Parkview Circle Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-5700.

What is Michael Mirro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Mirro enrolled in Medicare?

Yes. Michael Mirro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Mirro was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.