Miranda J. Vondornum, M.D.
NPI 1912139007ActiveIndividual· Internal Medicine· New York, NY
Internal Medicine (M.D.) in New York, New York, trained at Icahn School of Medicine at Mount Sinai (class of 2006). Part D covered 472 prescriptions written in 2024, 83% of them generic.
Overview
| NPI | 1912139007 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 22, 2009 |
| Last updated in NPPES | Jan 2, 2023 |
| Certified by provider | Jan 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 264285 | NY |
| Internal Medicine | 207R00000X | A102332 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 472 · 520 30-day fills |
|---|---|
| Patients | 25 |
| Total drug cost | $93,396 |
| Generic share | 83% of claims |
Education and affiliations
| Medical school | Icahn School of Medicine at Mount Sinai |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Internal Medicine |
Medical group
- Project Renewal IncNew York, NY · 9 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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