LOUELLA M MIRANDA MD
NPI 1154360840
Pediatrics in Elmhurst, NY

Active since June 06, 2006PECOS Enrolled
88-31 55TH AVENUE, SUITE 201, ELMHURST, NY 11373(718) 899-6600(718) 606-3881 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 10, 2025, Mar 3, 2022, Sep 20, 2019 and 1 more (4 updates tracked since 2017).

About Louella M Miranda Md NPPES

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

LOUELLA M MIRANDA MD (NPI 1154360840) is an individual pediatrics provider in Elmhurst, New York, licensed in New York (193873) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Forest Hills.

NPPES Registry Identity

NPI1154360840
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLOUELLA M MIRANDACredential: MD
Location Address88-31 55TH AVENUE, SUITE 201Elmhurst, NY 11373-4686
Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Fax(718) 606-3881
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateOctober 10, 20254 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1154360840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 193873
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

88-31 55TH AVENUE, Elmhurst, NY 11373

Secondary Practice Location 1

Location 196-10 Metropolitan AveForest Hills, NY 11375-6625 · Phone (718) 459-0400 · Fax (718) 670-6479

Other Identifiers 1

Medicaid01723642NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Louella M Miranda 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 11373 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 10

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

Ophthalmology
88-31 55TH AVENUE, SUITE 201
ELMHURST, NY 11373
Pediatrics
88-31 55TH AVENUE, SUITE 201
ELMHURST, NY 11373
Internal Medicine
88-31 55TH AVENUE, SUITE 201
ELMHURST, NY 11373
Physician Assistant
88-31 55TH AVENUE, SUITE 201
ELMHURST, NY 11373
Pediatrics
88-31 55TH AVENUE, SUITE 201
ELMHURST, NY 11373
Pediatrics
88-31 55TH AVENUE, SUITE 201
ELMHURST, NY 11373
Internal Medicine
88-31 55TH AVENUE, SUITE 201
ELMHURST, NY 11373
Family Medicine
88-31 55TH AVENUE, SUITE 201
ELMHURST, NY 11373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154360840, enumerated as an "individual" on June 06, 2006.

The provider is located at 88-31 55TH AVENUE SUITE 201 ELMHURST, NY 11373 and the phone number is (718) 899-6600.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.