1. Home
  2. Directory
  3. Pennsylvania
  4. Wilkes Barre
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THAIS PRATA MIRANDA
NPI 1114862034
Internal Medicine in Wilkes Barre, PA

Active since April 20, 2026PECOS Enrolled
1000 EAST MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-5967 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 17, 2026, Apr 20, 2026 (2 updates tracked since 2026).

About Thais Prata Miranda NPPES

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

THAIS PRATA MIRANDA (NPI 1114862034) is an individual internal medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MT237375) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114862034
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTHAIS PRATA MIRANDA
Location Address1000 EAST MOUNTAIN BLVDWilkes Barre, PA 18711
Mailing Address1000 East Mountain BlvdWilkes Barre, PA 18711
Phone(570) 808-5967
Sole ProprietorNo
Enumeration DateApril 20, 2026
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1114862034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MT237375
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.
1000 EAST MOUNTAIN BLVD, Wilkes Barre, PA 18711
Open in Google Maps ↗

Other Names 1

Other Name (5)Thais Souza Prata

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thais Prata Miranda 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 18711 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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.

PASSANG DOLMA M.D.
Hospitalist
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7399
HEATHER CATHERINE PUGLIESE LCSW
Social Worker (Clinical)
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7908
KOUSHIK PAUL
Student in an Organized Health Care Education/Training Program
1000 EAST MOUNTAIN BLVD
WILKES-BARRE, PA 18711
Luzerne County (570) 808-3746
DR. MICHAEL TRAKAS M.D.
Anesthesiology
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7850
DARIUSZ PIOTR BULCZAK MD
Radiology (Diagnostic Radiology)
1000 EAST MOUNTAIN BLVD
WILKES-BARRE, PA 18711
Luzerne County (570) 808-7779
DR. NATHAN MARK OLSON DO
Student in an Organized Health Care Education/Training Program
1000 EAST MOUNTAIN BLVD, ATT:GME-VALLY MEDICAL BUILDING
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
DR. BOGDAN PROTYNIAK MD, FACS, FASCRS
Colon & Rectal Surgery
1000 EAST MOUNTAIN BLVD, MC: 37-62
WILKES-BARRE, PA 18711
Luzerne County (570) 808-2340
LUPER ISAAC KOHOL
Student in an Organized Health Care Education/Training Program
1000 EAST MOUNTAIN BLVD
WILKES-BARRE, PA 18711
Luzerne County (570) 808-3746

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 Thais Miranda's NPI number?

The NPI number for Thais Miranda is 1114862034. It was assigned to this individual provider in the NPPES registry on April 20, 2026. The provider is also known as Thais Souza Prata.

Where is Thais Miranda located?

Thais Miranda practices at 1000 East Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-5967.

What is Thais Miranda's specialty?

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

Is Thais Miranda enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thais Miranda was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.