MADISON MIRANDA MD
NPI 1861028813
Student in an Organized Health Care Education/Training Program in Morgantown, WV

Q: What is Madison Miranda's NPI number?

The NPI number for Madison Miranda is 1861028813. It was assigned to this individual provider in the NPPES registry on March 20, 2020.

Q: What is Madison Miranda's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madison Miranda was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 20, 2020PECOS Enrolled

1 MEDICAL CENTER DR, MORGANTOWN, WV 26506(304) 598-0430(304) 598-4914 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Madison Miranda Md NPPES

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

MADISON MIRANDA MD (NPI 1861028813) is an individual student in an organized health care education/training program in Morgantown, West Virginia and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861028813

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMADISON MIRANDACredential: MD

Location Address1 MEDICAL CENTER DRMorgantown, WV 26506-1200

Mailing Address5260 S Ulster St Apt 3212Greenwood Village, CO 80111-2874 · (719) 839-0828

Phone(304) 598-0430

Fax(304) 598-4914

Sole ProprietorNo

Enumeration DateMarch 20, 2020

NPPES CertifiedMarch 20, 2020

✔ NPI 1861028813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

1 MEDICAL CENTER DR, Morgantown, WV 26506

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Miranda 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 20

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

MIKE LEE MD, MS, BS

Radiology (Neuroradiology)