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FABIOLA MIRANDA
NPI 1275112609
Internal Medicine in St Petersburg, FL

Active since April 04, 2021PECOS EnrolledAccepts Medicare Assignment
1839 CENTRAL AVE, ST PETERSBURG, FL 33713(727) 322-1054(727) 322-2725 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, Apr 4, 2021 (2 updates tracked since 2021).

About Fabiola Miranda NPPES

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

FABIOLA MIRANDA (NPI 1275112609) is an individual internal medicine provider in St Petersburg, Florida, licensed in Florida (ME177470) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1275112609
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameFABIOLA MIRANDA
Location Address1839 CENTRAL AVESt Petersburg, FL 33713-9089
Mailing Address1839 Central AveSt Petersburg, FL 33713-9089 · (727) 322-1054
Phone(727) 322-1054
Fax(727) 322-2725
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 4, 2021
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1275112609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME177470
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1839 CENTRAL AVE, St Petersburg, FL 33713
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Secondary Practice Location 1

Location 1Msc10 5580 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-2321

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fabiola Miranda is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123504370
PECOS Enrollment IDI20260108000119
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 33713 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

MELISSA ANNE STANILKA APRN
Nurse Practitioner (Family)
1839 CENTRAL AVE
SAINT PETERSBURG, FL 33713
Pinellas County (727) 322-1054
BARBARA SIMEON ARNP
Nurse Practitioner (Family)
1839 CENTRAL AVE
SAINT PETERSBURG, FL 33713
Pinellas County (727) 458-6490
CLINT COPACIA
Pharmacist
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 894-3001
PATRICIA K PRYDE ARNP
Internal Medicine
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 322-1054
GAIL VIORA SMITH APRN
Nurse Practitioner (Family)
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 322-1054
LORETA KAIRAITIENE APRN
Nurse Practitioner (Gerontology)
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 322-1054
VIRGINIA P BASNIGHT ARNP
Nurse Practitioner
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 322-1054
PRIMARYFIRST HEALTH LLC
Internal Medicine
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Pinellas County (727) 820-1040

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 Fabiola Miranda's NPI number?

The NPI number for Fabiola Miranda is 1275112609. It was assigned to this individual provider in the NPPES registry on April 4, 2021.

Where is Fabiola Miranda located?

Fabiola Miranda practices at 1839 Central Ave, St Petersburg, FL 33713. The listed phone number is (727) 322-1054.

What is Fabiola Miranda's specialty?

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

Is Fabiola Miranda enrolled in Medicare?

Yes. Fabiola Miranda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Fabiola Miranda was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.