MIRANDA ELIZABETH ROSE (M.D.) – Family Medicine Physician, NPI 1215357991

MIRANDA ELIZABETH ROSE (M.D.) is a healthcare provider. based in Dublin, Ohio. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 35129488 (OH). The NPI Number for MIRANDA ELIZABETH ROSE (M.D.) is 1215357991

Main info

Female
Sole Proprietor
12 Years Of Experience
Name
MIRANDA ELIZABETH ROSE (M.D.)
NPI
1215357991
Phone
(415) 671-2165
Address
545 METRO PL S STE 100
Enumeration Date
22 April 2014
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Secondary Phone
3308341111
Graduation Year
2014 (12 years ago)
PAC ID
9537433123
Group Practice PAC ID
3779485867
Professional Enrollment ID
I20170920002507

Contacts

Secure Messaging
miranda.rose@marshall.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

Provider Addresses for MIRANDA ELIZABETH ROSE (M.D.)

  • 545 METRO PL S STE 100

    DUBLIN, OH 430175353

    Phone: (415) 671-2165

    Type: Mailing

  • 2600 SIXTH ST SW

    CANTON, OH 447101702

    Phone: (330) 363-2319

    Fax: (330) 580-5509

    Type: Mailing

  • 4860 FRANK AVE NW

    NORTH CANTON, OH 447207426

    Phone: (330) 494-7099

    Fax: (330) 494-7099

    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: 2022-05-25

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
I20170920002507IFamily PracticeOHTBD
I20220525002251IFamily PracticeWVTBD

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 minutes138130$0
99214Established patient office or other outpatient visit, 30-39 minutes6262$0
87804Detection test by immunoassay with direct visual observation for influenza virus6029$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4444$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2323$0
View full utilization report →

Insurance plans in this area (ZIP 43017)

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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: 3779485867View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)OH
Nurse PractitionerOH
Cardiovascular Disease (Cardiology), Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Internal MedicineOH
Vascular Surgery, General SurgeryOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I use this page to confirm MIRANDA ELIZABETH ROSE (M.D.)'s NPI?
Yes. MIRANDA ELIZABETH ROSE (M.D.) is listed with NPI 1215357991 in the public NPI dataset.
Can I rely on MIRANDA ELIZABETH ROSE (M.D.) being an active provider?
As of the registry snapshot, MIRANDA ELIZABETH ROSE (M.D.) is marked active.
What is MIRANDA ELIZABETH ROSE (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for MIRANDA ELIZABETH ROSE (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is MIRANDA ELIZABETH ROSE (M.D.) based?
MIRANDA ELIZABETH ROSE (M.D.) is tied to Dublin, Ohio in the data we show; additional addresses may exist on the full record.
Why does MIRANDA ELIZABETH ROSE (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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