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MIKHAIL MIRER M.D. NPI 1790781946


NPI Information

NPI: 1790781946
Provider Name: MIKHAIL MIRER, M.D.
Classification: Pediatrics - 2080P0008X
Entity Type: Individual

Specialization: Neurodevelopmental Disabilities

PECOS Registration: Yes

Address:
1212 S ANDREWS AVE STE 201
FT LAUDERDALE, FL
ZIP 33316
Phone: (800) 243-3839
Get Directions

Mikhail Mirer, M.D. is a neurodevelopmental disabilities pediatrics in Ft Lauderdale, FL. The provider is a pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. Mikhail Mirer, M.D. NPI is 1790781946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1212 S ANDREWS AVE STE 201
FT LAUDERDALE, FL
ZIP 33316-828
Phone: (800) 243-3839

The NPI 1790781946 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 enumeration date for this NPI number is 6/22/2005 and was last updated on 6/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0008XPediatricsNeurodevelopmental DisabilitiesME116537FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010206190NY01OTHERNEW YORKANTHEM HEALTH
205-00433OTHERNEW YORKUHC CHILD HEALTH PLUS
31911994OTHERNEW YORKUNITEDHEALTHCARE
42C2066OTHERNEW YORKHEALTHNET
559065OTHERNEW YORKMAGNACARE
6040426010759OTHERNEW YORKFIDELIS
7AA50867OTHERNEW YORKMDNY
83099861OTHERNEW YORKGHI
97533054OTHERNEW YORKAETNA/US HEALTHCARE
1001980092MEDICAIDNEW YORK
1195941OTHERNEW YORKVYTRA HEALTH PLANS
12P1537630OTHERNEW YORKOXFORD HEALTH PLANS
13552992OTHERNEW YORKBLUE CROSS BLUE SHIELD

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.