Individual provider Active NPI

Uroje Mirza, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1013442292
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S9748 Issued in TX
Practice address
9753 Webb Chapel Rd Ste 900
Dallas, TX 75220-3513
Phone
(214) 622-6048
Fax
(214) 622-6051
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X S9748 TX Primary

Addresses

Primary practice location

9753 Webb Chapel Rd Ste 900
Dallas, TX 75220-3513

Mailing address

122 W John Carpenter Fwy Ste 420
Irving, TX 75039-2014
Phone (972) 957-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210316002201 TX Practitioner - Family Practice 3274949276 Reassigns benefits to 2 organizations
I20221215002514 MI Practitioner - Family Practice 3274949276

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LTHC Solutions LLCGroup PAC ID 4385949254, 11 clinicians

Practice addresses (Care Compare)

1217 Viridian Park LN
Arlington, TX 76005-1117
Phone (808) 561-0579

Hospital & facility affiliations

  • Renaissance Park Multi Care Center Nursing home, Fort Worth, TX, CCN 455891
  • Lake Lodge Nursing & Rehabilitation Nursing home, Lake Worth, TX, CCN 455903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
LTHC Solutions LLC CurrentSince Dec 9, 2022 Accepting new patients
Long Term Health Careline Corp CurrentSince Jan 30, 2024 Accepting new patients
Topcare Medical PA PastSince Apr 22, 2014 Accepting new patients
Lake Worth I Enterprises, L.L.C. Past Accepting new patients

Locations

275 SE John Jones Dr
Burleson, TX 76028
Phone (817) 730-4603

230 S Clark Rd
Cedar Hill, TX 75104
Phone (972) 291-7877

301 Lincoln Park Dr
Cleburne, TX 76033
Phone (817) 514-5282

603 E Plantation Dr
Clute, TX 77531
Phone (979) 265-4221

8017 W Virginia Dr
Dallas, TX 75237
Phone (972) 709-1112

1200 S Hall St
Ennis, TX 75119
Phone (972) 875-9051

900 Westpark Way
Euless, TX 76040
Phone (817) 545-4071

8703 Davis Blvd
Keller, TX 76248
Phone (817) 577-9999

101 Reese Dr
Red Oak, TX 75154
Phone (469) 552-0500

1301 Richardson Dr
Richardson, TX 75080
Phone (972) 616-4178

3650 S Interstate Highway 35 E
Waxahachie, TX 75165
Phone (972) 875-9051

Interoperability endpoints

  • Direct secure messaging: uroje.mirza.1@18822.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1013442292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W JOHN CARPENTER FWY STE 420",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392014",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9753 WEBB CHAPEL RD STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752203513",
            "telephone_number": "214-622-6048",
            "fax_number": "214-622-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "UROJE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S9748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.