Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MIA FARIDA MEDIANA PINGUL MD
NPI 1851419857
Pediatrics - Pediatric Endocrinology in Marshfield, WI

Q: What is Mia Farida Pingul's NPI number?

The NPI number for Mia Farida Pingul is 1851419857. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Q: What is Mia Farida Pingul's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Mia Farida Pingul was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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 March 27, 2007PECOS Enrolled

1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5511 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 8, 2026, Apr 15, 2026, Dec 29, 2016 (3 updates tracked since 2016).

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About Dr. Mia Farida Mediana Pingul Md NPPES

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

DR. MIA FARIDA MEDIANA PINGUL MD (NPI 1851419857) is an individual pediatric endocrinology provider in Marshfield, Wisconsin, licensed in Wisconsin (15279) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1851419857

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameDR. MIA FARIDA MEDIANA PINGULCredential: MD

Location Address1000 N OAK AVEMarshfield, WI 54449-5703

Mailing Address8401 Mayland Dr # 4782Richmond, VA 23294-4648 · (703) 539-2172 · Fax (312) 900-8148

Phone(715) 387-5511

Sole ProprietorYes

Enumeration DateMarch 27, 2007

Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1851419857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

Licenses✔ Licensed in WI · 15279✔ Licensed in VA · 0101258508

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

1000 N OAK AVE, Marshfield, WI 54449

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Secondary Practice Location 1

Location 18401 Mayland Dr # 4782Richmond, VA 23294-4648 · Phone (703) 539-2172 · Fax (312) 900-8148

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mia Farida Mediana Pingul 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

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

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.

ALISON RAE SAMPSON D.O.

Obstetrics & Gynecology