EGBERT MIRANDA MDPA
NPI 1366537201
Internal Medicine - Endocrinology, Diabetes & Metabolism in Corpus Christi, TX
About Egbert Miranda Mdpa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EGBERT MIRANDA MDPA (NPI 1366537201) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Corpus Christi, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Egbert Miranda, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Egbert Miranda Mdpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Egbert Miranda Mdpa, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D0891232
Egbert Miranda MD · Corpus Christi, TXFrequently 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 Egbert Miranda Mdpa's NPI number?
The NPI number for Egbert Miranda Mdpa is 1366537201. It was assigned to this organization in the NPPES registry on October 4, 2006.
Where is Egbert Miranda Mdpa located?
Egbert Miranda Mdpa is located at 5866 S Staples St Ste. 403, Corpus Christi, TX 78413. The listed phone number is (361) 991-5520.
What is Egbert Miranda Mdpa's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Egbert Miranda Mdpa enrolled in Medicare?
Yes. Egbert Miranda Mdpa is registered in the Medicare PECOS enrollment system.
When is Egbert Miranda Mdpa's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Egbert Miranda Mdpa?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Egbert Miranda Mdpa. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Egbert Miranda Mdpa hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0891232) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Egbert Miranda Mdpa was last updated on October 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Egbert Miranda Mdpa · NPI 1366537201
Endocrinology, Diabetes & Metabolism organization in Corpus Christi, Texas. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1366537201 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Organization subpart:** No
- **Authorized official:** Egbert Miranda, OWNER
## Practice location
- **Address:** 5866 S STAPLES ST, STE. 403, Corpus Christi, TX 78413-3700
- **Phone:** (361) 991-5520 · **Fax:** (361) 991-5521
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Endocrinology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2007
- **Other identifiers:** Medicare UPIN E28860; Medicare ID-Type Unspecified 00815T; Other 00F33D (TX); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366537201) · Data from the CMS NPPES public registry.