PEDRO A MIRO (MD) – Diagnostic Radiology Physician, NPI 1235124710

PEDRO A MIRO (MD) is a healthcare provider. based in Mishawaka, Indiana. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 01042130 (IN). The NPI Number for PEDRO A MIRO (MD) is 1235124710

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
PEDRO A MIRO (MD)
NPI
1235124710
Phone
(574) 258-1100
Address
620 W EDISON RD
Enumeration Date
12 September 2005
Last Update Date
16 May 2013

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5742963365
Graduation Year
1988 (38 years ago)
PAC ID
3678477783
Group Practice PAC ID
5890695464
Professional Enrollment ID
I20040209000766
Address ID
IN465142066EL303XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

847 DIAGNOSTIC RADIOLOGY in IN

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Provider Addresses for PEDRO A MIRO (MD)

  • 620, West Edison Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    SUITE 110

    MISHAWAKA, IN 465452784

    Phone: (574) 258-1100

    Fax: (574) 258-1101

    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: 2024-01-17

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
I20040209000766IDiagnostic RadiologyINTBD
I20220716000112IDiagnostic RadiologyMITBD
I20240117002255IDiagnostic RadiologyWITBD

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
71045X-ray of chest, 1 view1,3891,152$0
70450Ct scan head or brain without contrast515495$0
71046X-ray of chest, 2 views451442$0
73502X-ray of hip, 2-3 views177170$0
73030X-ray of shoulder, minimum of 2 views165158$0
View full utilization report →

Insurance plans in this area (ZIP 46545)

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Provider's Procedures

PEDRO A MIRO (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIN71010X-ray of chest, 1 view, front864705
DIAGNOSTIC RADIOLOGYIN73630X-ray of foot, minimum of 3 views2121
DIAGNOSTIC RADIOLOGYIN74177CT scan of abdomen and pelvis with contrast6868
DIAGNOSTIC RADIOLOGYIN93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4847

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: 5890695464View full group profile
NameSpecialtyState
-IN
Diagnostic RadiologyIN
Diagnostic RadiologyMN
Diagnostic Radiology, Interventional Radiology, Nuclear MedicineIN
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyIN
-IN
Diagnostic Radiology, Interventional RadiologyIN
Diagnostic RadiologyIL

Reviews

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Frequently asked questions

What number should I use to identify PEDRO A MIRO (MD) for billing?
Administrative and clinical systems typically use NPI 1235124710 for PEDRO A MIRO (MD).
Should I treat PEDRO A MIRO (MD) as an active provider?
Patients and plans typically see PEDRO A MIRO (MD) as active in the national extract.
Which specialty label fits PEDRO A MIRO (MD)?
NPPES ties PEDRO A MIRO (MD) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to PEDRO A MIRO (MD)?
PEDRO A MIRO (MD) shows a connection to Mishawaka, Indiana in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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