DR. CHARLES PAUL JR. MIRABILE (MD) – Maternal & Fetal Medicine Physician, NPI 1326063017
Maternal & Fetal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
480 OBSTETRICS/GYNECOLOGY in OK
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Provider Addresses for DR. CHARLES PAUL JR. MIRABILE (MD)
West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States
STE 321
OKLAHOMA CITY, OK 731208300
Phone: (405) 748-4726
Fax: (405) 607-8497
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: 2023-07-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060222000860 | I | Obstetrics/Gynecology | OK | TBD |
| I20211103000146 | I | Obstetrics/Gynecology | TX | TBD |
| I20230710001312 | I | Obstetrics/Gynecology | AR | 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 73120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| Nurse Practitioner | AL | |
| - | OK | |
| Certified Nurse Midwife (Cnm) | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Certified Nurse Midwife (Cnm) | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| Registered Dietitian Or Nutrition Professional | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK |
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