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

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: November 01, 2026.

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
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

Other Identifiers 4

Medicare UPINA47639CA
Medicare PIN00G389251CA
Medicare PIN00G389250CA
Medicaid00G389250CA

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Myracle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
6107 N FRESNO ST, SUITE 101
Fresno, CA 93710
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group

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

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.

Social Worker (Clinical)
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Pediatrics (Pediatric Pulmonology)
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Pediatrics
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Nurse Practitioner
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Social Worker (Clinical)
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Nurse Practitioner (Occupational Health)
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Pathology (Pediatric Pathology)
9300 VALLEY CHILDRENS PL, PATHOLOGY SC12
MADERA, CA 93638
Psychologist
9300 VALLEY CHILDRENS PL
MADERA, CA 93638

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 Michael Myracle's NPI number?

The NPI number for Michael Myracle is 1487608543. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Michael Myracle located?

Michael Myracle practices at 9300 Valley Childrens Pl, Madera, CA 93638. The listed phone number is (559) 485-8330.

What is Michael Myracle's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Michael Myracle enrolled in Medicare?

Yes. Michael Myracle 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 organization bills Medicare for Michael Myracle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Myracle reassigns Medicare benefits to Wishon Radiological Medical Group, Inc. (Fresno, CA). The 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 Michael Myracle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Myracle was last updated on September 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.