DR. JOSEPH MIRRO JR. MD
NPI 1427051200
Pediatrics - Pediatric Hematology-Oncology in Kalamazoo, MI

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0207X and a focus in Pediatric Hematology-Oncology.

Active since May 24, 2005PECOS Enrolled

200 N PARK ST, WEST MICHIGAN CANCER CENTER, KALAMAZOO, MI 49007(269) 910-6555(269) 384-8610 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Joseph Mirro Jr. Md NPPES

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

DR. JOSEPH MIRRO JR. MD (NPI 1427051200) is an individual pediatric hematology-oncology provider in Kalamazoo, Michigan, licensed in Tennessee (13553) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427051200

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameDR. JOSEPH MIRRO JR.Credential: MD

Location Address200 N PARK ST, WEST MICHIGAN CANCER CENTERKalamazoo, MI 49007-3731

Mailing Address200 N Park St, West Michigan Cancer CenterKalamazoo, MI 49007-3731 · (269) 910-6555 · Fax (269) 384-8610

Phone(269) 910-6555

Fax(269) 384-8610

Sole ProprietorNo

Enumeration DateMay 24, 2005

Last NPPES UpdateMay 19, 2014

✔ NPI 1427051200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Licenses✔ Licensed in TN · 13553✔ Licensed in MI · 4301100173

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

200 N PARK ST, Kalamazoo, MI 49007

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Other Identifiers 21

Medicare UPIN6728057VA

Medicaid100249681-00NE

Medicaid3821400TN

Medicaid0528836IA

Medicare PIN66660025 - WMCCMI

Medicaid1427051200MI

Medicaid1534722LA

MedicaidQ13553SC

Medicaid009914380AL

Other1447261730MI · Bcbs - Wmcc

Medicaid100025910AOK

Medicaid200179770AIN

Medicaid209684901MO

Medicaid060495101TX

Medicaid00118886MS

Medicare ID-Type Unspecified3821405TN · Medicare

Medicaid133070001AR

Medicaid1135121 00WY

Medicaid64712789KY

Medicare UPINE90636TN

Medicaid422400000ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph Mirro Jr. 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.