DR. ROBERTO MIRANDA (M.D.) – Family Medicine Physician, NPI 1891798633

DR. ROBERTO MIRANDA (M.D.) is a healthcare provider. based in Austin, Texas. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. E2740 (TX). The NPI Number for DR. ROBERTO MIRANDA (M.D.) is 1891798633

Main info

Male
Sole Proprietor
57 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERTO MIRANDA (M.D.)
NPI
1891798633
Phone
(512) 477-9202
Address
1508 DESSAU RIDGE LN APT 602
Enumeration Date
24 May 2005
Last Update Date
11 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124779202
Graduation Year
1969 (57 years ago)
PAC ID
5799835831
Professional Enrollment ID
I20090610000494
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

Provider Addresses for DR. ROBERTO MIRANDA (M.D.)

  • 1508 DESSAU RIDGE LN APT 602

    STE B

    AUSTIN, TX 787542121

    Phone: (512) 477-9202

    Fax: (512) 472-9473

    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)

CMS reports 6 Open Payments records for all available years, with a total value of $165.

Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: UCB, Inc. ($98).

Total Amount

$165

General + Research + Ownership

Payments

6

Total payment records

General Amount

$165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2009-06-10

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
I20090610000494IGeneral PracticeTXTBD

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 78754)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. ROBERTO MIRANDA (M.D.)'s NPI?
Yes. DR. ROBERTO MIRANDA (M.D.) is listed with NPI 1891798633 in the public NPI dataset.
Does CMS list DR. ROBERTO MIRANDA (M.D.) as active?
Yes — DR. ROBERTO MIRANDA (M.D.) is active in the NPI listing used on this page.
What is DR. ROBERTO MIRANDA (M.D.)'s specialty?
The listing groups DR. ROBERTO MIRANDA (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ROBERTO MIRANDA (M.D.)?
DR. ROBERTO MIRANDA (M.D.)'s geographic hint is Austin, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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