Active NPI
Izza Mir, D.O.
- Internal Medicine Physician
- Austin, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H0100219
- Practice address
- 1000 1St Dr NW
Austin, MN 55912-2941 - Phone
- (507) 433-7351
- NPI assigned
- May 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT017043 | PA | |
| Internal Medicine Physician | 207R00000X | 72609 | MN | |
| Internal Medicine Physician | 207R00000X | H0100219 | MD | Primary |
Addresses
Primary practice location
1000 1St Dr NW
Austin, MN 55912-2941
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-5412
Other practice location 1
420 S 5th Ave
West Reading, PA 19611-2143
Phone (484) 628-8640
Other practice location 2
5755 Cedar Ln
Columbia, MD 21044-2912
Phone (410) 955-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Rowan University School of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800
5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 884-4644
Hospital & facility affiliations
- Johns Hopkins Howard County Medical Center
- Johns Hopkins Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.97 of 100
- Quality
- 95.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.69
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.23 of 100
- Quality
- 80.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT017043 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reading Hospital | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Internal Medicine | Current | Accepting new patients |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Tower Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Reading Hospital | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Johns Hopkins Community Physicians | Internal Medicine | Current | Accepting new patients |
| Reading Hospital | Current | Accepting new patients | |
| Howard County General Hospital, Inc, | Past | Accepting new patients |
Locations
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
301 S 7th Ave
Ste 340
West Reading, PA 19611
Phone (484) 628-8480
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Interoperability endpoints
- imir1247058@direct.hopkinsmedicine.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1578598868
-
- Radiation Oncology Physician
- West Reading, PA
- NPI 1992387518
-
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
Internal Medicine
-
- Obstetrics & Gynecology Physician
- Columbia, MD
- NPI 1902503436
-
- Infectious Disease Physician
- West Reading, PA
- NPI 1194162537
-
- Community/Retail Pharmacy
- Limerick, PA
- NPI 1487468914
-
- Vascular Surgery Physician
- West Reading, PA
- NPI 1780986901
-
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
- General Acute Care Hospital
- Columbia, MD
- NPI 1144291899
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, MD
- NPI 1144291899
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1003262668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 1ST DR NW",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559122941",
"telephone_number": "507-433-7351"
}
],
"practiceLocations": [
{
"address_1": "420 S 5th Ave",
"address_purpose": "LOCATION",
"city": "West Reading",
"state": "PA",
"postal_code": "196112143",
"country_code": "US",
"telephone_number": "484-628-8640",
"fax_number": "484-628-9003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5755 Cedar Ln",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210442912",
"country_code": "US",
"telephone_number": "410-955-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIR",
"first_name": "IZZA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT017043",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "72609",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "H0100219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.