MIRKO ANDREW GIACONI MD NPI 1609850700

NPI Information

  • NPI: 1609850700
  • Provider Name: MIRKO ANDREW GIACONI, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 S GAFFEY ST
    SAN PEDRO, CA
    ZIP 90731
  • Phone: (310) 548-0201

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NPI Details

Mirko Andrew Giaconi, MD is a cardiovascular disease internal medicine in San Pedro, CA with 58 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Mirko Andrew Giaconi, MD NPI is 1609850700. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 S GAFFEY ST
SAN PEDRO, CA
ZIP 90731-628
Phone: (310) 548-0201
Fax: (310) 548-4492

The NPI 1609850700 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Urinalysis, manual test (HCPCS:81002)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS:G0446)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Removal of impacted ear wax (HCPCS:69210)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)

The enumeration date for this NPI number is 12/1/2005 and was last updated on 9/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineA25678CALIFORNIANo
2207RC0000XInternal MedicineCardiovascular DiseaseA25678CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A256780MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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