DR. MIRIAM ANDRADE STAUB (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1043593569

DR. MIRIAM ANDRADE STAUB (M.D.) is a healthcare provider. based in Daytona beach, Florida. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. ME147285 (FL). The NPI Number for DR. MIRIAM ANDRADE STAUB (M.D.) is 1043593569

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIRIAM ANDRADE STAUB (M.D.)
NPI
1043593569
Phone
(386) 676-7130
Address
PO BOX 9671
Enumeration Date
21 September 2011
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3864274868
Graduation Year
1986 (40 years ago)
PAC ID
6901226489
Group Practice PAC ID
9436201233
Professional Enrollment ID
I20201022000758
Address ID
FL321321734ED239XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:14State licenses:3Digital endpointsOther names

4,130 PSYCHIATRY in CA

Provider Addresses for DR. MIRIAM ANDRADE STAUB (M.D.)

  • PO BOX 9671

    DAYTONA BEACH, FL 321209671

    Phone: (386) 676-7130

    Fax: (386) 676-7125

    Type: Mailing

  • 7747 E ROSECRANS AV

    PARAMOUNT, CA 907231425

    Phone: (562) 602-2200

    Fax: (562) 663-1456

    Type: Location

  • 4164 BROCKTON AVE

    RIVERSIDE, CA 925013400

    Phone: (951) 683-5193

    Type: Mailing

  • 239 N Ridgewood Ave

    Edgewater, FL 321321734

    Phone: (386) 672-5724

    Type: Location

  • 42 SOCO TRL

    ORMOND BEACH, FL 321744990

    Phone: (386) 676-7130

    Fax: (386) 676-7125

    Type: Mailing

  • 4444 CALLE REAL

    SANTA BARBARA, CA 931101002

    Phone: (805) 681-5190

    Fax: (562) 663-1456

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: ABBVIE INC. ($48).

Total Amount

$116

General + Research + Ownership

Payments

7

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20201022000758IPsychiatryFLTBD
I20211026002695IPsychiatryCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes19644$0
View full utilization report →

Insurance plans in this area (ZIP 32120)

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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: 9436201233View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. MIRIAM ANDRADE STAUB (M.D.)?
The registry entry for DR. MIRIAM ANDRADE STAUB (M.D.) shows NPI 1043593569.
Is DR. MIRIAM ANDRADE STAUB (M.D.)'s NPI status active today?
Active status means DR. MIRIAM ANDRADE STAUB (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. MIRIAM ANDRADE STAUB (M.D.)'s specialty?
The extract shows Child & Adolescent Psychiatry Physician for DR. MIRIAM ANDRADE STAUB (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. MIRIAM ANDRADE STAUB (M.D.)?
The directory associates DR. MIRIAM ANDRADE STAUB (M.D.) with Daytona Beach, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. MIRIAM ANDRADE STAUB (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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