JOHN KEVIN MIRJANICH (MD) – Anesthesiology Physician, NPI 1245341791

JOHN KEVIN MIRJANICH (MD) is a healthcare provider. based in Midwest city, Oklahoma. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 14776 (OK). The NPI Number for JOHN KEVIN MIRJANICH (MD) is 1245341791

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
JOHN KEVIN MIRJANICH (MD)
NPI
1245341791
Phone
(405) 360-7576
Address
2825 PARKLAWN DR
Enumeration Date
31 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4052728000
Graduation Year
1983 (43 years ago)
PAC ID
5698848398
Group Practice PAC ID
9830084375
Professional Enrollment ID
I20100625000461
Address ID
OK731021036OK1000XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

580 ANESTHESIOLOGY in OK

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Provider Addresses for JOHN KEVIN MIRJANICH (MD)

  • AllianceHealth Midwest, 2825, Parklawn Drive, Midwest City, Oklahoma County, Oklahoma, 73110, United States

    MIDWEST CITY, OK 731104201

    Phone: (405) 360-7576

    Fax: (405) 360-7762

    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: 2010-06-25

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
I20100625000461IAnesthesiologyOKTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope121116$0
00811Anesthesia for other procedure on large bowel using an endoscope4746$0
00732Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope2322$0
00520Anesthesia for other closed procedure on chest1717$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 73110)

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Provider's Procedures

JOHN KEVIN MIRJANICH (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYOK00790Anesthesia for procedure in upper abdomen including use of an endoscope2929

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: 9830084375View full group profile
NameSpecialtyState
Anesthesiology AssistantOK
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YOK
-OK
Anesthesiology AssistantTX
-OK
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YOK
A N E S T H E S I O L O G YOK

Reviews

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Frequently asked questions

Does JOHN KEVIN MIRJANICH (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN KEVIN MIRJANICH (MD) uses 1245341791.
Does CMS list JOHN KEVIN MIRJANICH (MD) as active?
Yes — JOHN KEVIN MIRJANICH (MD) is active in the NPI listing used on this page.
What is JOHN KEVIN MIRJANICH (MD)'s primary classification?
Anesthesiology Physician is the headline specialty for JOHN KEVIN MIRJANICH (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN KEVIN MIRJANICH (MD)?
JOHN KEVIN MIRJANICH (MD)'s geographic hint is Midwest City, Oklahoma in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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