MICHAEL RAY MYRACLE MD
NPI 1487608543
Radiology - Pediatric Radiology in Madera, CA

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085P0229X and a focus in Pediatric Radiology.

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment

9300 VALLEY CHILDRENS PL, MADERA, CA 93638(559) 485-8330(559) 485-6694 Get Directions Write a Review

NPPES record last updated: September 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Michael Ray Myracle Md NPPES

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

MICHAEL RAY MYRACLE MD (NPI 1487608543) is an individual pediatric radiology provider in Madera, California, licensed in California (G38925) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1977).

NPPES Registry Identity

NPI1487608543

Entity TypeIndividualMale

Primary Taxonomy2085P0229X

Provider Legal NameMICHAEL RAY MYRACLECredential: MD

Location Address9300 VALLEY CHILDRENS PLMadera, CA 93638-8761

Mailing AddressPo Box 4437Fresno, CA 93744-4437 · (559) 485-8330 · Fax (559) 485-6994

Phone(559) 485-8330

Fax(559) 485-6694

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1977

Enumeration DateMay 20, 2006

Last NPPES UpdateSeptember 12, 2009

✔ NPI 1487608543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

License✔ Licensed in CA · G38925

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

9300 VALLEY CHILDRENS PL, Madera, CA 93638

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Other Identifiers 4

Medicare UPINA47639CA

Medicare PIN00G389251CA

Medicare PIN00G389250CA

Medicaid00G389250CA

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

Michael Ray Myracle Md 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 ID8426052119

PECOS Enrollment IDI20060912000293

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.