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

LUCAS GERARDO MIRANDA-MARTINEZ
NPI 1114635992
Student in an Organized Health Care Education/Training Program in Aurora, CO

Q: What is Lucas Miranda-martinez's NPI number?

The NPI number for Lucas Miranda-martinez is 1114635992. It was assigned to this individual provider in the NPPES registry on November 9, 2022.

Q: What is Lucas Miranda-martinez's specialty?

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

Active since November 09, 2022PECOS Enrolled

12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 26, 2026, Nov 9, 2022 (2 updates tracked since 2022).

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About Lucas Gerardo Miranda-martinez NPPES

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

LUCAS GERARDO MIRANDA-MARTINEZ (NPI 1114635992) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114635992

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLUCAS GERARDO MIRANDA-MARTINEZ

Location Address12605 E 16TH AVEAurora, CO 80045-2520

Mailing Address240 E Huron St Ste 1-200Chicago, IL 60611-2909

Phone(720) 848-0000

Sole ProprietorNo

Enumeration DateNovember 9, 2022

Last NPPES UpdateJuly 26, 20262 updates tracked since enumeration

NPPES CertifiedJuly 26, 2026

✔ NPI 1114635992 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.

12605 E 16TH AVE, Aurora, CO 80045

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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)

Lucas Gerardo Miranda-martinez 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.

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.

KEVIN BRADLEY ROTHCHILD MD

Surgery (Trauma Surgery)