DAVID RANDALL MIRICH (MD) – Diagnostic Radiology Physician, NPI 1861492522
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
353 DIAGNOSTIC RADIOLOGY in NV
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Provider Addresses for DAVID RANDALL MIRICH (MD)
McCarran International Airport, 5757, Wayne Newton Boulevard, Enterprise, Clark County, Nevada, 89154, United States
LAS VEGAS, NV 891336900
Phone: (702) 732-6000
Fax: (702) 243-7531
Type: Mailing
South Maryland Parkway, John S. Park, Five Points, Las Vegas, Clark County, Nevada, 89101, United States
LAS VEGAS, NV 891092204
Phone: (702) 732-6000
Fax: (702) 243-7531
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: 2024-09-11
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 |
|---|---|---|---|---|
| I20110421000470 | I | Diagnostic Radiology | NV | TBD |
| I20240911001119 | I | Diagnostic Radiology | UT | 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 89133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NV | |
| - | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Interventional Radiology, Nuclear Medicine, Diagnostic Radiology, General Practice | NV |
Reviews
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