MARY ANN V MIRANDA (MD) – Allergy & Immunology (Internal Medicine) Physician, NPI 1972536597

MARY ANN V MIRANDA (MD) is a healthcare provider. based in Round rock, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 25323 (OK). The NPI Number for MARY ANN V MIRANDA (MD) is 1972536597

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MARY ANN V MIRANDA (MD)
NPI
1972536597
Phone
(512) 732-2774
Address
303 W MAIN ST
Enumeration Date
8 July 2006
Last Update Date
15 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073879850
Graduation Year
1997 (29 years ago)
PAC ID
3870597222
Group Practice PAC ID
1153706346
Professional Enrollment ID
I20251203002585
Address ID
WY827189330GI469XX50XX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for MARY ANN V MIRANDA (MD)

  • 303 W MAIN ST

    ROUND ROCK, TX 786645246

    Phone: (512) 732-2774

    Fax: (512) 344-9221

    Type: Mailing

  • 2025 MEMORY LN STE 400A

    HARKER HEIGHTS, TX 765487488

    Phone: (254) 435-4995

    Fax: (254) 432-5952

    Type: Location

  • 2027 S 61st St Ste 108

    Temple, TX 765046856

    Phone: (254) 773-8916

    Type: Location

  • Davis Boulevard, Davis Islands, Tampa, Hillsborough County, Florida, 33606, United States

    TAMPA, FL 336063438

    Phone: (813) 250-2529

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($21).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

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: 2025-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070213000611IHospitalistOKTBD
I20251203002585IInternal MedicineWYTBD

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 78664)

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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: 1153706346View full group profile
NameSpecialtyState
Internal Medicine, Endocrinology, Internal MedicineTX
Emergency MedicineCO
General SurgeryMA
Family PracticeWY
P S Y C H I A T R YWA
D E R M A T O L O G YVT
Registered Dietitian Or Nutrition ProfessionalWY
N E U R O L O G YNE
Internal MedicineCO
Family Practice, Geriatric MedicineWY

Reviews

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Frequently asked questions

Does MARY ANN V MIRANDA (MD) have a public NPI I can cite?
Public records show MARY ANN V MIRANDA (MD) under NPI 1972536597.
Should I treat MARY ANN V MIRANDA (MD) as an active provider?
Patients and plans typically see MARY ANN V MIRANDA (MD) as active in the national extract.
Which specialty label fits MARY ANN V MIRANDA (MD)?
NPPES ties MARY ANN V MIRANDA (MD) to Allergy & Immunology (Internal Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MARY ANN V MIRANDA (MD) tied to Round Rock, Texas?
If you are local to Round Rock, Texas, MARY ANN V MIRANDA (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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