Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jose Luis Mira Jr., MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669823118

Jose Luis Mira Jr., MD is an Internal Medicine in Fredericksburg, Virginia. Graduated from Morehouse School of Medicine in 2016, 10 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in South Carolina and Virginia.

Years since qualifying
10
Trained at
Morehouse School of Medicine
Licensed in
SC, VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fredericksburg, VA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 169 Ashley Ave, Charleston, SC 29425-8905 — (843) 792-2911

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101266677 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (SC)

Record details

NPI number1669823118
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 27, 2016
Last updated in NPPESJanuary 10, 2022
Certification dateJune 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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