DR. CHARLES MIRAMONTI (M.D.) – Emergency Medicine Physician, NPI 1922040922
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. CHARLES MIRAMONTI (M.D.)
11260 E Jefferson Ave
Detroit, MI 482143320
Phone: (313) 749-0148
Fax: (313) 263-3298
Type: Location
1000 S Elmora Ave
Elizabeth, NJ 072023100
Phone: (908) 737-5703
Type: Location
1200, West Monroe Street, Greektown, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60607, United States
CHICAGO, IL 606032420
Phone: (312) 733-7303
Fax: (773) 866-8014
Type: Mailing
PO BOX 746720
ATLANTA, GA 303746720
Phone: (312) 733-7303
Fax: (773) 866-8014
Type: Mailing
5926 CRAWFORDSVILLE RD UNIT B
INDIANAPOLIS, IN 462243722
Phone: (317) 653-2730
Fax: (317) 321-1935
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: 2025-04-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040604000110 | I | Emergency Medicine | IN | TBD |
| I20240926003617 | I | Emergency Medicine | PA | TBD |
| I20250403000127 | I | Emergency Medicine | NJ | TBD |
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.
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 48214)
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