DR. MARIO A MIGLIETTA – Emergency Medicine Physician, NPI 1366405607
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,514 EMERGENCY MEDICINE in GA
Provider Addresses for DR. MARIO A MIGLIETTA
PO BOX 743501
ATLANTA, GA 303743501
Phone: (855) 691-9890
Fax: (781) 276-6403
Type: Mailing
1061 HARMON AVE
FORT STEWART, GA 313145641
Phone: (912) 435-6965
Type: Mailing
Lower Keys Medical Center, 5900, College Road, Stock Island, Key West, Monroe County, Florida, 33040, United States
KEY WEST, FL 330404342
Phone: (305) 294-5531
Type: Location
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: 2019-06-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190501002695 | I | Emergency Medicine | GA | TBD |
| I20190621000146 | I | Emergency Medicine | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | SC | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | NY | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA |
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