MIKAEL MIR MD
NPI 1548014012
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since April 12, 2024PECOS Enrolled
200 W ARBOR DR # MC8756, SAN DIEGO, CA 92103(858) 657-7000 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2025, Apr 12, 2024 (2 updates tracked since 2024).

About Mikael Mir Md NPPES

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

MIKAEL MIR MD (NPI 1548014012) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548014012
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMIKAEL MIRCredential: MD
Location Address200 W ARBOR DR # MC8756San Diego, CA 92103-1911
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Sole ProprietorNo
Enumeration DateApril 12, 2024
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
NPI 1548014012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 W ARBOR DR # MC8756, San Diego, CA 92103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mikael Mir 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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
200 W ARBOR DR # MC8756
SAN DIEGO, CA 92103
Radiology (Diagnostic Radiology)
200 W ARBOR DR # MC8756
SAN DIEGO, CA 92103
Radiology (Diagnostic Radiology)
200 W ARBOR DR # MC8756
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8756
SAN DIEGO, CA 92103
Radiology (Diagnostic Radiology)
200 W ARBOR DR # MC8756
SAN DIEGO, CA 92103
Radiology (Vascular & Interventional Radiology)
200 W ARBOR DR # MC8756
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8756
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR # MC8756
SAN DIEGO, CA 92103

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 Mikael Mir's NPI number?

The NPI number for Mikael Mir is 1548014012. It was assigned to this individual provider in the NPPES registry on April 12, 2024.

Where is Mikael Mir located?

Mikael Mir practices at 200 W Arbor Dr # Mc8756, San Diego, CA 92103. The listed phone number is (858) 657-7000.

What is Mikael Mir's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mikael Mir enrolled in Medicare?

Yes. Mikael Mir is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mikael Mir was last updated on June 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.