MELANIE ETHELL MIRANDE (MD) – Family Medicine Physician, NPI 1437123783

MELANIE ETHELL MIRANDE (MD) is a healthcare provider. based in Canton, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35072373 (OH). The NPI Number for MELANIE ETHELL MIRANDE (MD) is 1437123783

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE ETHELL MIRANDE (MD)
NPI
1437123783
Phone
(330) 494-9785
Address
6525 MARKET AVE N
Enumeration Date
14 February 2006
Last Update Date
4 October 2024

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
3303636242
Graduation Year
1999 (27 years ago)
PAC ID
5890881718
Group Practice PAC ID
3971884636
Professional Enrollment ID
I20071023000396
Address ID
OH447101709CA2600XSWXX400
Telehealth
Yes
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

4,431 FAMILY PRACTICE in OH

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Provider Addresses for MELANIE ETHELL MIRANDE (MD)

  • 6525, Market Avenue North, North Canton, Stark County, Ohio, 44721, United States

    SUITE 101

    CANTON, OH 447212430

    Phone: (330) 494-9785

    Fax: (330) 494-9798

    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: 2007-10-23

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
I20071023000396IFamily PracticeOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes718245$0
36415Insertion of needle into vein for collection of blood sample410195$0
99497Advance care planning, first 30 minutes221218$0
G0444Annual depression screening, 5 to 15 minutes203203$0
G0442Annual alcohol misuse screening, 5 to 15 minutes202202$0
View full utilization report →

Insurance plans in this area (ZIP 44721)

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Provider's Procedures

MELANIE ETHELL MIRANDE (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH90670Pneumococcal vaccine for injection into muscle3534

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: 3971884636View full group profile
NameSpecialtyState
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH
Internal MedicineOH
Hospitalist, Internal MedicineOH
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
Nurse PractitionerOH
Family PracticeOH

Reviews

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Frequently asked questions

What federal number belongs to MELANIE ETHELL MIRANDE (MD)?
The federal identifier for MELANIE ETHELL MIRANDE (MD) is NPI 1437123783.
Does this profile mean MELANIE ETHELL MIRANDE (MD) is currently active?
Yes — MELANIE ETHELL MIRANDE (MD) appears active in the national provider directory.
Does MELANIE ETHELL MIRANDE (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for MELANIE ETHELL MIRANDE (MD). Clinical services aligned with this taxonomy classification.
Where does public data place MELANIE ETHELL MIRANDE (MD)?
The snapshot lists Canton, Ohio for MELANIE ETHELL MIRANDE (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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