MIRANDA ARIEL CHACON MD
NPI 1588292148
Student in an Organized Health Care Education/Training Program in Rochester, NY
About Miranda Ariel Chacon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRANDA ARIEL CHACON MD (NPI 1588292148) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miranda Ariel Chacon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Miranda Chacon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 22 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.
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
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 Miranda Chacon's NPI number?
The NPI number for Miranda Chacon is 1588292148. It was assigned to this individual provider in the NPPES registry on March 30, 2020.
Where is Miranda Chacon located?
Miranda Chacon practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-5292.
What is Miranda Chacon's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Miranda Chacon enrolled in Medicare?
Yes. Miranda Chacon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Miranda Chacon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Chacon reassigns Medicare benefits to Pediatrics & Adolescent Medicine Group (Rochester, NY). 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 Miranda Chacon'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 Miranda Chacon was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Miranda Ariel Chacon, MD · NPI 1588292148
Student in an Organized Health Care Education/Training Program provider in Rochester, New York. Individual provider, active in the CMS NPPES registry since March 30, 2020.
## Identity
- **NPI:** 1588292148 (Entity type: Individual)
- **Enumerated:** March 30, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 601 ELMWOOD AVE, Rochester, NY 14642-0001
- **Phone:** (585) 275-5292
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pediatrics & Adolescent Medicine Group (NPI 1104861772, Rochester, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1588292148) · Data from the CMS NPPES public registry.