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DR. TAMADER H. MIRA, P.A.
NPI 1508830829
Internal Medicine in Brooklyn, MD

Active since February 14, 2006
5505 RITCHIE HWY, E, BROOKLYN, MD 21225(410) 355-0340(410) 636-3403 Get Directions Write a Review

NPPES record last updated: December 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tamader H. Mira, P.a. NPPES

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

DR. TAMADER H. MIRA, P.A. (NPI 1508830829) is a healthcare organization registered as an internal medicine in Brooklyn, Maryland and active in the NPI registry since February 2006. The organization lists Tamader Mira, President, as its authorized official.

NPPES Registry Identity

NPI1508830829
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDR. TAMADER H. MIRA, P.A.
Location Address5505 RITCHIE HWY, EBrooklyn, MD 21225-3444
Mailing Address5505 Ritchie Hwy, EBrooklyn, MD 21225-3444 · (410) 355-0340 · Fax (410) 636-3403
Phone(410) 355-0340
Fax(410) 636-3403
Organization SubpartNo
Authorized OfficialTamader MiraPresident · (410) 440-4827
Enumeration DateFebruary 14, 2006
Last NPPES UpdateDecember 26, 2021
NPPES CertifiedDecember 26, 2021
✔ NPI 1508830829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5505 RITCHIE HWY, Brooklyn, MD 21225
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Other Identifiers 1

Medicaid912081500MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tamader H. Mira, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dr. Tamader H. Mira, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Daniella Villaran, DNP, FNP-C
Nurse Practitioner
NPI 1972231462
5505 RITCHIE HWY STE E
Brooklyn, MD 21225
(410) 355-0340
✔ PECOSSame address
Tamader Mira, M.D.
Internal Medicine
NPI 1023205887
5505 RITCHIE HWY E
Brooklyn, MD 21225
(410) 355-0340
✔ PECOS✔ Accepts MedicareSame address
Letitia Wright, MD
Internal Medicine
NPI 1992987499
8813 WALTHAM WOODS RD STE 204
Parkville, MD 21234
(410) 882-5088
✔ PECOS✔ Accepts Medicare13 mi

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

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 Dr. Tamader H. Mira, P.A.'s NPI number?

The NPI number for Dr. Tamader H. Mira, P.A. is 1508830829. It was assigned to this organization in the NPPES registry on February 14, 2006.

Where is Dr. Tamader H. Mira, P.A. located?

Dr. Tamader H. Mira, P.A. is located at 5505 Ritchie Hwy E, Brooklyn, MD 21225. The listed phone number is (410) 355-0340.

What is Dr. Tamader H. Mira, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dr. Tamader H. Mira, P.A. enrolled in Medicare?

Yes. Dr. Tamader H. Mira, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Tamader H. Mira, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dr. Tamader H. Mira, P.A., in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Tamader H. Mira, P.A. was last updated on December 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.