MICHELE ANN MIRCH (DO) – Hospitalist Physician, NPI 1710989579
Hospitalist Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MICHELE ANN MIRCH (DO)
102, East Street, Fairport Harbor, Lake County, Ohio, 44077, United States
FAIRPORT HARBOR, OH 440775710
Phone: (440) 781-3515
Type: Mailing
Adena Regional Medical Center, 272, Hospital Road, Chillicothe, Ross County, Ohio, 45601, United States
CHILLICOTHE, OH 456019031
Phone: (740) 779-4300
Type: Location
6505 Market St
Boardman, OH 445123457
Phone: (330) 746-8400
Fax: (330) 846-9401
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: 2015-07-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150714003306 | I | Pediatric Medicine | HI | 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 44077)
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