DR. ADRIAN MIRANDA (MD) – Emergency Medicine Physician, NPI 1104004985

DR. ADRIAN MIRANDA (MD) is a healthcare provider. based in Colorado springs, Colorado. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A97929 (CA). The NPI Number for DR. ADRIAN MIRANDA (MD) is 1104004985

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADRIAN MIRANDA (MD)
NPI
1104004985
Phone
(719) 203-3300
Address
8115 VOYAGER PKWY
Enumeration Date
5 February 2008
Last Update Date
27 December 2017

Doctor Profile

Medical School Name
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Secondary Phone
7192033300
Graduation Year
2005 (21 years ago)
PAC ID
0840360491
Group Practice PAC ID
4981988953
Professional Enrollment ID
I20170810000020
Address ID
CO809201562CO8115XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,190 EMERGENCY MEDICINE in CO

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Provider Addresses for DR. ADRIAN MIRANDA (MD)

  • 8115, Voyager Parkway, Colorado Springs, El Paso County, Colorado, 80920, United States

    COLORADO SPRINGS, CO 809201562

    Phone: (719) 203-3300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170810000020IEmergency MedicineCOTBD
I20200226001099IEmergency MedicineTXTBD
I20220117000556IEmergency MedicineWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making119110$0
99285Emergency department visit with high level of medical decision making119108$0
99283Emergency department visit with low level of medical decision making3939$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 80920)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981988953View full group profile
NameSpecialtyState
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineTX
Emergency MedicineAE
Hospitalist, Emergency MedicineCO
Emergency MedicineCO
-CO
Emergency Medicine, Family PracticeNC

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ADRIAN MIRANDA (MD)?
NPI 1104004985 is assigned to DR. ADRIAN MIRANDA (MD) under the national enumeration system.
Is DR. ADRIAN MIRANDA (MD) active in the national directory?
DR. ADRIAN MIRANDA (MD)'s public NPI profile is in an active state.
What kind of provider is DR. ADRIAN MIRANDA (MD)?
The page reflects Emergency Medicine Physician for DR. ADRIAN MIRANDA (MD). Clinical services aligned with this taxonomy classification.
Does DR. ADRIAN MIRANDA (MD) practice in Colorado?
You will see Colorado Springs, Colorado on file for DR. ADRIAN MIRANDA (MD) alongside any extra practice locations.
Is DR. ADRIAN MIRANDA (MD) a real provider?
This page reflects official NPPES data for NPI 1104004985. Always confirm identity and privileges with the practice and licensing boards.

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