DR. MIRIAM SEGURA-HARRISON (MD) – Student in an Organized Health Care Education/Training Program, NPI 1275916587

DR. MIRIAM SEGURA-HARRISON (MD) is a healthcare provider. based in Pawtucket, Rhode Island. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. LP04108 (RI). The NPI Number for DR. MIRIAM SEGURA-HARRISON (MD) is 1275916587

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIRIAM SEGURA-HARRISON (MD)
NPI
1275916587
Phone
(401) 729-2206
Address
111 BREWSTER ST
Enumeration Date
6 July 2015
Last Update Date
30 May 2018

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6176653220
Graduation Year
2015 (11 years ago)
PAC ID
8628480415
Group Practice PAC ID
8921910894
Professional Enrollment ID
I20201221000943
Address ID
MA021432827SO26XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

406 FAMILY PRACTICE in RI

Provider Addresses for DR. MIRIAM SEGURA-HARRISON (MD)

  • 111 BREWSTER ST

    PAWTUCKET, RI 02860

    Phone: (401) 729-2206

    Type: Location

  • 34 Chiswick Rd

    #5

    Brighton, MA 021357174

    Phone: (310) 801-1365

    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: 2020-12-21

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
I20201221000943IFamily PracticeMATBD

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 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 02860)

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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: 8921910894View full group profile
NameSpecialtyState
Family PracticeMA
-MA
-NH
Rheumatology, Internal MedicineMA
-MA
Emergency MedicineMA
Family PracticeMA
O B S T E T R I C S/ G Y N E C O L O G YPA
Emergency MedicineMA
Physician AssistantMA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What federal number belongs to DR. MIRIAM SEGURA-HARRISON (MD)?
The federal identifier for DR. MIRIAM SEGURA-HARRISON (MD) is NPI 1275916587.
Is DR. MIRIAM SEGURA-HARRISON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. MIRIAM SEGURA-HARRISON (MD) work in?
You can think of DR. MIRIAM SEGURA-HARRISON (MD) as practicing within Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MIRIAM SEGURA-HARRISON (MD)?
The page summarizes Pawtucket, Rhode Island for DR. MIRIAM SEGURA-HARRISON (MD); expand the address list for detail.
How can I contact DR. MIRIAM SEGURA-HARRISON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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