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DR. MIRANDA SPETH DO
NPI 1063214690
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 25, 2025PECOS Enrolled
350 W 14TH ST # HA6063, INDIANAPOLIS, IN 46202(317) 274-0275 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Apr 5, 2026, Mar 25, 2025 (3 updates tracked since 2025).

About Dr. Miranda Speth Do NPPES

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

DR. MIRANDA SPETH DO (NPI 1063214690) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063214690
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MIRANDA SPETHCredential: DO
Location Address350 W 14TH ST # HA6063Indianapolis, IN 46202-2369
Mailing Address350 W 14th St # Ha6063Indianapolis, IN 46202-2369 · (317) 274-0275
Phone(317) 274-0275
Sole ProprietorNo
Enumeration DateMarch 25, 2025
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1063214690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
350 W 14TH ST # HA6063, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Miranda Speth Do 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.

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 Miranda Speth's NPI number?

The NPI number for Miranda Speth is 1063214690. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Miranda Speth located?

Miranda Speth practices at 350 W 14th St # Ha6063, Indianapolis, IN 46202. The listed phone number is (317) 274-0275.

What is Miranda Speth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Miranda Speth enrolled in Medicare?

Yes. Miranda Speth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miranda Speth was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.