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MIRAKEL HEART ARTERY AND VEIN CENTER PC
NPI 1104484641
Internal Medicine - Interventional Cardiology in Montebello, CA

Active since May 30, 2019
128 S MONTEBELLO BLVD, MONTEBELLO, CA 90640(323) 726-9606(323) 726-8566 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2025, Oct 17, 2019, May 30, 2019 (3 updates tracked since 2019).

About Mirakel Heart Artery And Vein Center Pc NPPES

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

MIRAKEL HEART ARTERY AND VEIN CENTER PC (NPI 1104484641) is a healthcare organization registered as an interventional cardiology in Montebello, California and active in the NPI registry since May 2019. The organization lists Erika Ruiz, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1104484641
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameMIRAKEL HEART ARTERY AND VEIN CENTER PC
Location Address128 S MONTEBELLO BLVDMontebello, CA 90640-4730
Mailing Address128 S Montebello BlvdMontebello, CA 90640-4730 · (323) 726-9606 · Fax (323) 726-8566
Phone(323) 726-9606
Fax(323) 726-8566
Organization SubpartNo
Authorized OfficialErika RuizPractice Administrator · (213) 584-0534
Enumeration DateMay 30, 2019
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1104484641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
128 S MONTEBELLO BLVD, Montebello, CA 90640
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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)

Mirakel Heart Artery And Vein Center 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 Mirakel Heart Artery And Vein Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mir Ali, M.D.
Cardiovascular Disease (Cardiology)
NPI 1295759694
101 E BEVERLY BLVD STE 408
Montebello, CA 90640
(237) 269-6063
✔ PECOS✔ Accepts Medicare0.6 mi

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 Mirakel Heart Artery And Vein Center PC's NPI number?

The NPI number for Mirakel Heart Artery And Vein Center PC is 1104484641. It was assigned to this organization in the NPPES registry on May 30, 2019.

Where is Mirakel Heart Artery And Vein Center PC located?

Mirakel Heart Artery And Vein Center PC is located at 128 S Montebello Blvd, Montebello, CA 90640. The listed phone number is (323) 726-9606.

What is Mirakel Heart Artery And Vein Center PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Mirakel Heart Artery And Vein Center PC enrolled in Medicare?

Yes. Mirakel Heart Artery And Vein Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mirakel Heart Artery And Vein Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Mirakel Heart Artery And Vein Center 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 Mirakel Heart Artery And Vein Center PC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.