MIRIAM C PADILLA (M.D.) – Family Medicine Physician, NPI 1104833979

MIRIAM C PADILLA (M.D.) is a healthcare provider. based in Provo, Utah. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 9448538-1205 (UT). The NPI Number for MIRIAM C PADILLA (M.D.) is 1104833979

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAM C PADILLA (M.D.)
NPI
1104833979
Phone
(801) 357-7546
Address
395 W Cougar Blvd Ste 401
Enumeration Date
2 August 2006
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4355871234
Graduation Year
2003 (23 years ago)
PAC ID
8426052515
Group Practice PAC ID
4486541851
Professional Enrollment ID
I20151012000235
Address ID
UT845320000SP5555XRDXX400
Telehealth
Yes

Contacts

Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness95
Years active:19State licenses:2Other names

47 ENDOCRINOLOGY in UT

Provider Addresses for MIRIAM C PADILLA (M.D.)

  • 395 W Cougar Blvd Ste 401

    Provo, UT 846043338

    Phone: (801) 357-7546

    Type: Location

  • 604, Rose Avenue, Venice, Los Angeles, Los Angeles County, California, 90291, United States

    VENICE, CA 902912767

    Phone: (310) 664-7600

    Type: Location

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $12,884.

Total Amount is formed as General ($12,884) + Research ($0) + Ownership ($0) = $12,884.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($12,449).

Total Amount

$12,884

General + Research + Ownership

Payments

37

Total payment records

General Amount

$12,884

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2015-10-12

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
I20151012000235IEndocrinologyUTTBD

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 minutes10465$0
99204New patient office or other outpatient visit, 45-59 minutes7474$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report3217$0
99213Established patient office or other outpatient visit, 20-29 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

Loading plans...

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: 4486541851View full group profile
NameSpecialtyState
Orthopedic SurgeryCA
General SurgeryNC
Physician AssistantUT
Orthopedic SurgeryUT
Family PracticeUT
Physician AssistantUT
-KS
Nurse PractitionerUT
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyUT
Family PracticeUT

Reviews

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

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does MIRIAM C PADILLA (M.D.) have a public NPI I can cite?
Public records show MIRIAM C PADILLA (M.D.) under NPI 1104833979.
Is MIRIAM C PADILLA (M.D.)'s NPI status active today?
Active status means MIRIAM C PADILLA (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say MIRIAM C PADILLA (M.D.) does?
Insurance directories may phrase it differently, but here MIRIAM C PADILLA (M.D.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MIRIAM C PADILLA (M.D.)?
The directory associates MIRIAM C PADILLA (M.D.) with Provo, Utah. Check all listed addresses for suites or satellite offices.
Can I export MIRIAM C PADILLA (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

PO BOX 27128
NPI: 1063410579

DR. STEVEN W BLOINK (MD)

Family Medicine Physician
Wymount Terrace, Provo, Utah County, Utah, 84604, United States
NPI: 1891787891

ANDREW D PETERSEN (DO)

Family Medicine Physician
203, West 300 North, Timp, Provo, Utah County, Utah, 84601, United States
NPI: 1124011572

GALE J. SKOUSEN (M.D.)

Family Medicine Physician
336 W 100 S
NPI: 1053305391
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
NPI: 1245225325

DR. DENNIS C HESS (M.D.)

Family Medicine Physician
2230, North University Parkway, Carterville, Provo, Utah County, Utah, 84604, United States
NPI: 1326035080

DR. MARC SUNE ROBINS (DO)

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Utah Valley Hospital, 1034, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
NPI: 1780671453

DR. RICHARD J HOLMES (M.D.)

Family Medicine Physician
University Parkway, BYU, Pleasant View, Provo, Utah County, Utah, 84602, United States
NPI: 1083601942

DR. JAMES A III WOODMANSEE (M.D.)

Family Medicine Physician
2230, North University Parkway, Carterville, Provo, Utah County, Utah, 84604, United States
NPI: 1093703530