MS. KARINA J MIRANDA PA-C
NPI 1598137085
Physician Assistant in Melrose Park, IL

Q: What is Karina Miranda's NPI number?

The NPI number for Karina Miranda is 1598137085. It was assigned to this individual provider in the NPPES registry on October 23, 2015.

Q: What is Karina Miranda's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Karina Miranda was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 23, 2015PECOS EnrolledAccepts Medicare Assignment

84.57/100

CMS Quality Rating

8321 W NORTH AVE, MELROSE PARK, IL 60160(708) 681-2298(708) 681-2398 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 27, 2021, Aug 18, 2020 (2 updates tracked since 2020).

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About Ms. Karina J Miranda Pa-c NPPES

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

MS. KARINA J MIRANDA PA-C (NPI 1598137085) is an individual physician assistant in Melrose Park, Illinois, licensed in Illinois (085-005705) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1598137085

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. KARINA J MIRANDACredential: PA-C

Location Address8321 W NORTH AVEMelrose Park, IL 60160-1605

Mailing Address600 W Fulton St Ste 200Chicago, IL 60661-1262 · (312) 526-2083 · Fax (312) 526-2083

Phone(708) 681-2298

Fax(708) 681-2398

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 23, 2015

Last NPPES UpdateApril 27, 20212 updates tracked since enumeration

NPPES CertifiedApril 27, 2021

✔ NPI 1598137085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085-005705

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085.005705 (IL)

8321 W NORTH AVE, Melrose Park, IL 60160

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Other Identifiers 1

Other085.005705IL · Physician Assistant License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

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

Ms. Karina J Miranda Pa-c 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 ID5092016725

PECOS Enrollment IDI20151222000574

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

80 services52 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.25

Promoting Interoperability

100

Improvement Activities

Cost

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers29 claims29 services$180.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

ACCESS COMMUNITY HEALTH NETWORK

Clinic/Center (Federally Qualified Health Center (FQHC))