ALEXANDER MIRIC MD
NPI 1619048691
Neuromusculoskeletal Medicine & OMM in Los Angeles, CA
About Alexander Miric Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDER MIRIC MD (NPI 1619048691) is an individual neuromusculoskeletal medicine & omm provider in Los Angeles, California, licensed in California (A52217) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).
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 and accepts Medicare assignment
Alexander Miric 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.
Medicare Billing Reassignment
Medicare enrollment records show Alexander Miric reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- 13,921 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.
LOS ANGELES, CA 90027
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 Alexander Miric's NPI number?
The NPI number for Alexander Miric is 1619048691. It was assigned to this individual provider in the NPPES registry on November 13, 2006.
Where is Alexander Miric located?
Alexander Miric practices at 4733 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 783-4011.
What is Alexander Miric's specialty?
The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.
Is Alexander Miric enrolled in Medicare?
Yes. Alexander Miric 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 Alexander Miric's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Miric reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, 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 Alexander Miric'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 Alexander Miric was last updated on November 30, 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.
# Alexander Miric, MD · NPI 1619048691
Neuromusculoskeletal Medicine & OMM physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1619048691 (Entity type: Individual)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Neuromusculoskeletal Medicine & OMM · taxonomy 204D00000X
- **State license:** A52217 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4733 W SUNSET BLVD, Los Angeles, CA 90027-6021
- **Phone:** (323) 783-4011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** November 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619048691) · Data from the CMS NPPES public registry.