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MIRACL, LLC
NPI 1205304300
Clinic/Center - Multi-Specialty in Rolla, MO

Active since November 06, 2018
1000 W 10TH ST, ROLLA, MO 65401(573) 364-9000 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 30, 2020, Nov 6, 2018 (2 updates tracked since 2018).

About Miracl, Llc NPPES

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

MIRACL, LLC (NPI 1205304300) is a healthcare organization registered as a multi-specialty in Rolla, Missouri and active in the NPI registry since November 2018. The organization lists Cathy Eghigian, Senior Director Managed Care, as its authorized official.

NPPES Registry Identity

NPI1205304300
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMIRACL, LLC
Location Address1000 W 10TH STRolla, MO 65401-2905
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 273-0770
Phone(573) 364-9000
Organization SubpartNo
Authorized OfficialCathy EghigianSenior Director Managed Care · (314) 273-0770
Enumeration DateNovember 6, 2018
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1205304300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1000 W 10TH ST, Rolla, MO 65401
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Other Names 1

Other NameRadiology - Rolla

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miracl, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

346

Medicare enrollment records show 346 clinicians reassign Medicare billing to Miracl, LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Diagnostic Radiology301
Obstetrics/Gynecology14
Nuclear Medicine13
Interventional Radiology12
Pediatric Medicine3
Cardiovascular Disease (Cardiology)1
Neurology1
Nurse Practitioner1

Nearest to this location (20)

See all 346
Amanda Lackey, MD
Diagnostic Radiology
NPI 1194041855
1 HOSPITAL DR
Columbia, MO 65212
(573) 884-7770
✔ PECOS✔ Accepts Medicare74 mi
Megha Garg, M.D.
Diagnostic Radiology
NPI 1871695049
1 HOSPITAL DR
Columbia, MO 65212
(573) 882-1161
✔ PECOS✔ Accepts Medicare74 mi
Cody Thornburgh, MD
Diagnostic Radiology
NPI 1689137762
ONE HOSPITAL DR
Columbia, MO 65212
(573) 884-7770
✔ PECOS✔ Accepts Medicare74 mi
Kyle O'blanc, MD
Diagnostic Radiology
NPI 1013116458
1825 HIGH OAK RD
Saint Louis, MO 63131
(504) 710-8234
✔ PECOS✔ Accepts Medicare84 mi
Jordan Gutovich, MD
Neurology
NPI 1154756955
3015 N BALLAS RD DEPT RADIOLOGY
Saint Louis, MO 63131
(314) 996-5170
✔ PECOS✔ Accepts Medicare87 mi
Floyd Scales, MD
Interventional Radiology
NPI 1669510483
3015 N BALLAS RD DEPT RADIOLOGY
Saint Louis, MO 63131
(314) 996-5170
✔ PECOS✔ Accepts Medicare87 mi
Carlos Guevara, MD
Interventional Radiology
NPI 1861529299
12855 N 40 DR STE 205
Saint Louis, MO 63141
(314) 255-2204
✔ PECOS✔ Accepts Medicare92 mi
Krystle Barhaghi, MD
Pediatric Medicine
NPI 1922419589
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
Saint Louis, MO 63110
(314) 362-7200
✔ PECOS✔ Accepts Medicare95 mi
Sagine Berry-Tony, MD
Interventional Radiology
NPI 1093159287
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
Saint Louis, MO 63110
(314) 362-7200
✔ PECOS✔ Accepts Medicare95 mi
Karen Caudill, MD
Pediatric Medicine
NPI 1699728667
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
Saint Louis, MO 63110
(314) 362-7200
✔ PECOS✔ Accepts Medicare95 mi
Farrokh Dehdashti, MD
Nuclear Medicine
NPI 1063506392
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
Saint Louis, MO 63110
(314) 362-7200
✔ PECOS✔ Accepts Medicare95 mi
James Duncan, MD
Interventional Radiology
NPI 1437176997
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
Saint Louis, MO 63110
(314) 362-7200
✔ PECOS✔ Accepts Medicare95 mi
Tyler Fraum, MD
Nuclear Medicine
NPI 1235492281
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
Saint Louis, MO 63110
(314) 362-7200
✔ PECOS✔ Accepts Medicare95 mi
Thomas Herman, MD
Pediatric Medicine
NPI 1841234960
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
Saint Louis, MO 63110
(314) 362-7200
✔ PECOS✔ Accepts Medicare95 mi
Michelle Juengling, FNP
Nurse Practitioner
NPI 1245839323
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
Saint Louis, MO 63110
(314) 362-7200
✔ PECOS✔ Accepts Medicare95 mi
Joyce Mhlanga, MD
Nuclear Medicine
NPI 1831491919
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
Saint Louis, MO 63110
(314) 362-7200
✔ PECOS✔ Accepts Medicare95 mi
Crystal Azu, MD
Cardiovascular Disease (Cardiology)
NPI 1114457769
4921 PARKVIEW PL DIV IM CARDIOLOGY, STE 8B
Saint Louis, MO 63110
(314) 362-1291
✔ PECOS✔ Accepts Medicare95 mi
Katherine Bligard, MD
Obstetrics/Gynecology
NPI 1053792325
4901 FOREST PARK AVE DIV OBGYN MFM AND US, STE 710
Saint Louis, MO 63108
(314) 454-8181
✔ PECOS✔ Accepts Medicare95 mi
Heather Campbell, MD
Obstetrics/Gynecology
NPI 1700860350
4901 FOREST PARK AVE DIV OBGYN MFM AND US, STE 710
Saint Louis, MO 63108
(314) 454-8181
✔ PECOS✔ Accepts Medicare95 mi
Jeffrey Dicke, MD
Obstetrics/Gynecology
NPI 1982622437
4901 FOREST PARK AVE DIV OBGYN MFM AND US, STE 710
Saint Louis, MO 63108
(314) 454-8181
✔ PECOS✔ Accepts Medicare95 mi
See all 346 clinicians

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 Miracl, LLC's NPI number?

The NPI number for Miracl, LLC is 1205304300. It was assigned to this organization in the NPPES registry on November 6, 2018. The provider is also known as Radiology - Rolla.

Where is Miracl, LLC located?

Miracl, LLC is located at 1000 W 10th St, Rolla, MO 65401. The listed phone number is (573) 364-9000.

What is Miracl, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Miracl, LLC enrolled in Medicare?

Yes. Miracl, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Miracl, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 346 clinicians in 8 Medicare specialties reassign their Medicare billing to Miracl, LLC. 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. The largest specialties are Diagnostic Radiology (301), Obstetrics/Gynecology (14) and Nuclear Medicine (13). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Miracl, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Miracl, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miracl, LLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.