MIRACLE MEDICAL MANAGEMENT INC. – Primary Care Clinic/Center, NPI 1578148078

MIRACLE MEDICAL MANAGEMENT INC. is a healthcare provider. based in Cypress, Texas. specializing in Primary Care Clinic/Center. The NPI Number for MIRACLE MEDICAL MANAGEMENT INC. is 1578148078

Main info

Organization
Name
MIRACLE MEDICAL MANAGEMENT INC.
NPI
1578148078
Phone
(832) 812-9598
Address
20127 IVORY VALLEY LN
Authorized Official
BARBARA YADIRA ORTIZ GONZALEZ CEO FNP-C
Enumeration Date
16 March 2021
Last Update Date
7 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for MIRACLE MEDICAL MANAGEMENT INC.

  • 20127 IVORY VALLEY LN

    CYPRESS, TX 774330030

    Phone: (832) 812-9598

    Type: Mailing

  • 20127 Ivory Valley Ln

    Cypress, TX 774330030

    Phone: (832) 812-9598

    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: 2021-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-06-30 (20 days away).

Enrollment records

1

Earliest due date

2026-06-30

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
O20210601000047OClinic/Group PracticeTX2026-06-30

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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 77433)

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Reviews

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Frequently asked questions

Is MIRACLE MEDICAL MANAGEMENT INC. listed with a National Provider Identifier?
Yes — MIRACLE MEDICAL MANAGEMENT INC. has NPI 1578148078 on file in the registry.
Active or inactive — what applies to MIRACLE MEDICAL MANAGEMENT INC.?
You should see MIRACLE MEDICAL MANAGEMENT INC. as active in CMS-hosted NPPES data.
What area of care is associated with MIRACLE MEDICAL MANAGEMENT INC.?
MIRACLE MEDICAL MANAGEMENT INC.'s record emphasizes Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Is MIRACLE MEDICAL MANAGEMENT INC. associated with Cypress?
Public fields place MIRACLE MEDICAL MANAGEMENT INC. around Cypress, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for MIRACLE MEDICAL MANAGEMENT INC.?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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