NATALIA MIRANDA M.D.
NPI 1326302399
Obstetrics & Gynecology in Bordentown, NJ

Q: What is Natalia Miranda's NPI number?

The NPI number for Natalia Miranda is 1326302399. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Q: What is Natalia Miranda's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Natalia Miranda was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since June 25, 2012PECOS EnrolledAccepts Medicare Assignment

95.77/100

CMS Quality Rating

163 ROUTE 130, BORDENTOWN, NJ 08505(609) 537-7200(609) 896-3986 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2021, Nov 13, 2018 (2 updates tracked since 2018).

On this page

About Natalia Miranda M.d. NPPES

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

NATALIA MIRANDA M.D. (NPI 1326302399) is an individual obstetrics & gynecology provider in Bordentown, New Jersey, licensed in Pennsylvania (MT201323) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains a secondary practice location in Langhorne.

NPPES Registry Identity

NPI1326302399

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameNATALIA MIRANDACredential: M.D.

Location Address163 ROUTE 130Bordentown, NJ 08505-2248

Mailing Address540 Woodbourne RdLanghorne, PA 19047-1856 · (215) 750-6611

Phone(609) 537-7200

Fax(609) 896-3986

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 2016

Enumeration DateJune 25, 2012

Last NPPES UpdateApril 22, 20212 updates tracked since enumeration

NPPES CertifiedApril 22, 2021

✔ NPI 1326302399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in PA · MT201323✔ Licensed in PA · MD457512✔ Licensed in NJ · 25MA09951500

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 25MA09951500 (NJ)

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 25MA09951500 (NJ)

163 ROUTE 130, Bordentown, NJ 08505

Open in Google Maps ↗

Secondary Practice Location 1

Location 1540 Woodbourne RdLanghorne, PA 19047 · Phone (215) 750-6611

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Natalia Miranda M.d. 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 ID6406147453

PECOS Enrollment IDI20160622000311, I20161026000190

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.

Medicare Billing Reassignments

Medicare enrollment records show Natalia Miranda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capital Health Medical Group

6.5 mi

Internal Medicine

750 BRUNSWICK AVE
Trenton, NJ 08638

Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
581 clinicians in this Medicare group

NPI 1437516887 (609) 815-7829

Capital Health Multispecialty Group

6.5 mi

Surgery

750 BRUNSWICK AVE
Trenton, NJ 08638

Reassigned Medicare billing, New Jersey enrollment
600 clinicians in this Medicare group

NPI 1083072342 (609) 394-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390258

LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08505 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.75

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

90%109 patients4/55-star benchmark: 93%

Cervical Cancer Screening

96%362 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

30%61 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

66%166 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

73%52 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

38%21 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

81%638 patients3/55-star benchmark: 100%

e-Prescribing

98%165 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

83%29 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

51%397 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

68%440 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

38%457 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 94% · 450 patients

Patients screened: 98% · 450 patients

38%29 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

97%242 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

THE FOOT AND ANKLE GROUP, PC

Podiatrist

163 ROUTE 130, BLDG 2 SUITE B1
BORDENTOWN, NJ 08505

Burlington County (609) 291-0960

MR. DAVID WILLIAM ALEXANDER PT

Physical Therapist

163 ROUTE 130
BORDENTOWN, NJ 08505

Burlington County (609) 324-9320

BORDENTOWN FAMILY PRACTICE PA

Clinic/Center (Primary Care)

163 ROUTE 130, BLDG. 1 SUITE B
BORDENTOWN, NJ 08505

Burlington County (609) 298-2992

KATRINA JOY STEVENSON P.T.

Physical Therapist

163 ROUTE 130, SUITE A-1 BLD 2
BORDENTOWN, NJ 08505

Burlington County (609) 324-9320

STEPHANIE SCHWARTZ-KRAVATZ M.D.

Obstetrics & Gynecology

163 ROUTE 130
BORDENTOWN, NJ 08505

Burlington County (609) 896-1400

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 Natalia Miranda's NPI number?

The NPI number for Natalia Miranda is 1326302399. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is Natalia Miranda located?

Natalia Miranda practices at 163 Route 130, Bordentown, NJ 08505. The listed phone number is (609) 537-7200.

What is Natalia Miranda's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Natalia Miranda enrolled in Medicare?

Yes. Natalia 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.

Which organizations bill Medicare for Natalia Miranda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natalia Miranda reassigns Medicare benefits to 2 organizations: Capital Health Medical Group (Trenton, NJ) and Capital Health Multispecialty Group (Trenton, NJ). Each 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 Natalia Miranda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Natalia Miranda accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Natalia Miranda 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.

Is Natalia Miranda affiliated with any hospitals?

According to CMS data, Natalia Miranda is affiliated with St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Natalia Miranda was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.