STEPHEN PATRICK MIRANDA (B.A.) – Neurological Surgery Physician, NPI 1023544343

STEPHEN PATRICK MIRANDA (B.A.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NEUROSURGERY. They hold the professional credentials B.A.. They hold a License No. 329570 (NY). The NPI Number for STEPHEN PATRICK MIRANDA (B.A.) is 1023544343

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN PATRICK MIRANDA (B.A.)
NPI
1023544343
Phone
Not provided
Address
3400 SPRUCE ST
Enumeration Date
5 May 2017
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
2127316761
Graduation Year
2017 (9 years ago)
PAC ID
5597033357
Group Practice PAC ID
2264691070
Professional Enrollment ID
I20240805000323
Address ID
NY100296501NE5XXXXSTXX453
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

465 NEUROSURGERY in PA

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Provider Addresses for STEPHEN PATRICK MIRANDA (B.A.)

  • Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    3 SILVERSTEIN

    PHILADELPHIA, PA 191044238

    Phone:

    Type: Mailing

  • 7 VALLEY VIEW RD

    GREAT NECK, NY 110213917

    Phone:

    Type: Mailing

  • 1 GUSTAVE L LEVY PL

    NEW YORK, NY 100296504

    Phone: (212) 241-6500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,497.

Total Amount is formed as General ($1,497) + Research ($0) + Ownership ($0) = $1,497.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Stryker Corporation ($604).

Total Amount

$1,497

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,497

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-05

PECOS data refreshed: 2026-06-15

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
I20240805000323INeurosurgeryNYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19104)

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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: 2264691070View full group profile
NameSpecialtyState
-NY
E N D O C R I N O L O G YFL
-NY
Gastroenterology, Internal MedicineNY
-NY
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseNY
O T O L A R Y N G O L O G YNY
-IL
Internal MedicineNY
N E U R O S U R G E R YNY

Reviews

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Frequently asked questions

What NPI should I save for STEPHEN PATRICK MIRANDA (B.A.)?
Save NPI 1023544343 if you need a stable reference for STEPHEN PATRICK MIRANDA (B.A.).
Is STEPHEN PATRICK MIRANDA (B.A.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does STEPHEN PATRICK MIRANDA (B.A.) work in?
You can think of STEPHEN PATRICK MIRANDA (B.A.) as practicing within Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place STEPHEN PATRICK MIRANDA (B.A.)?
The snapshot lists Philadelphia, Pennsylvania for STEPHEN PATRICK MIRANDA (B.A.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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