DR. JOHN MIRRO (MD) – Gastroenterology Physician, NPI 1689678955

DR. JOHN MIRRO (MD) is a healthcare provider. based in Bedford park, Illinois. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01024382A (IN). The NPI Number for DR. JOHN MIRRO (MD) is 1689678955

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN MIRRO (MD)
NPI
1689678955
Phone
(260) 969-1950
Address
PO BOX 1293
Enumeration Date
2 June 2005
Last Update Date
15 March 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2196632793
Graduation Year
1972 (54 years ago)
PAC ID
2365440377
Group Practice PAC ID
9638063894
Professional Enrollment ID
I20070907000504
Address ID
IN464107335ME101XXAVEX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

448 GASTROENTEROLOGY in IN

Provider Addresses for DR. JOHN MIRRO (MD)

  • PO BOX 1293

    BEDFORD PARK, IL 604991293

    Phone: (260) 969-1950

    Fax: (260) 918-2137

    Type: Mailing

  • 7895 GRAND BLVD

    HOBART, IN 463426665

    Phone: (219) 947-1910

    Fax: (219) 947-3117

    Type: Mailing

  • 101 E 87TH AVE STE 420

    MERRILLVILLE, IN 464107335

    Phone: (219) 758-5008

    Fax: (219) 758-5009

    Type: Location

  • 7895 Grand Blvd

    Hobart, IN 463426665

    Phone: (219) 758-5008

    Fax: (219) 758-5009

    Type: Location

  • 8895, Broadway, Merrillville, Lake County, Indiana, 46410, United States

    MERRILLVILLE, IN 464107037

    Phone: (219) 738-2081

    Fax: (219) 736-4658

    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: 2007-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20070907000504IGastroenterologyINTBD

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
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk1818$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare1111$0
View full utilization report →

Insurance plans in this area (ZIP 60499)

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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: 9638063894View full group profile
NameSpecialtyState
-IN
General Surgery, Colorectal Surgery (Proctology)NY
Gynecological Oncology, Obstetrics/GynecologyIN
O B S T E T R I C S/ G Y N E C O L O G YIN
Nurse PractitionerIN
Family PracticeIN
P O D I A T R YIN
Nurse PractitionerIN
N E U R O L O G YAR
General SurgeryIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JOHN MIRRO (MD)?
DR. JOHN MIRRO (MD) — NPI 1689678955 — is the standard way to identify this listing.
Does CMS list DR. JOHN MIRRO (MD) as active?
Yes — DR. JOHN MIRRO (MD) is active in the NPI listing used on this page.
What healthcare role does DR. JOHN MIRRO (MD) hold?
Scheduling teams often label DR. JOHN MIRRO (MD) under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JOHN MIRRO (MD) based?
DR. JOHN MIRRO (MD) is tied to Bedford Park, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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