Mirium Mammen, DO
NPI 1093563470 · Student in an Organized Health Care Education/Training Program · Philadelphia, PA
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mirium Mammen, DO is a Student in an Organized Health Care Education/Training Program provider in Philadelphia, PA (NPI 1093563470).
Provider details
- NPI number
- 1093563470
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- OT023449 (PA)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense OT023449 (PA)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-09
- Last updated
- 2024-05-09
- Certified
- 2024-05-09
Frequently asked questions
- What is Mirium Mammen's NPI number?
- Mirium Mammen's National Provider Identifier (NPI) is 1093563470, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mirium Mammen's specialty?
- Mirium Mammen is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Mirium Mammen located?
- Mirium Mammen's practice location on file with NPPES is 10800 Knights Rd, Philadelphia, PA 19114-4200.
- What is Mirium Mammen's phone number?
- The practice phone number listed in the NPPES registry for Mirium Mammen is (215) 612-5161.
- Does Mirium Mammen accept Medicare?
- Mirium Mammen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mirium Mammen's NPI active?
- Yes — Mirium Mammen's NPI (1093563470) is active in the NPPES registry as of the last update on 2024-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.