Active NPI
Sohail K Mirza, M.D., M.P.H.
- Orthopaedic Surgery of the Spine Physician
- Fairfax, VA
National Provider Identifier
1063469393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 14258
- Practice address
- 4250 Chain Bridge Rd
Fairfax, VA 22030-4214 - Phone
- (703) 828-6579
- Fax
- (571) 458-7336
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 79228 | MA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 14258 | NH | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 0101261117 | VA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 79154 8002 | CA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 34710 | CO | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | MD00031150 | WA |
Addresses
Primary practice location
4250 Chain Bridge Rd
Fairfax, VA 22030-4214
Mailing address
4250 Chain Bridge Rd
Fairfax, VA 22030-4214
Phone (703) 828-6579
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015431 | Medicaid | VT | |
| 30208086 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Colorado School of Medicine, Denver, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4250 Chain Bridge Rd
Fairfax, VA 22030-4214
Phone 7038286579101
Hospital & facility affiliations
- Inova Fairfax Hospital
- Inova Fair Oaks Hospital
- Inova Alexandria Hospital
- Inova Loudoun Hospital
- Inova Mount Vernon Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 32 |
| Laminectomy or laminotomy (partial removal of spine bones) | 16 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79154 8002 | CA | MD | Orthopaedic Surgery of the Spine Physician |
| 34710 | CO | MD | Orthopaedic Surgery of the Spine Physician |
| 79228 | MA | MD | Orthopaedic Surgery of the Spine Physician |
| MD00031150 | WA | MD | Orthopaedic Surgery of the Spine Physician |
Organizations & group practices 1
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 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1063469393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 CHAIN BRIDGE RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304214",
"telephone_number": "703-828-6579",
"fax_number": "571-458-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 CHAIN BRIDGE RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304214",
"telephone_number": "703-828-6579",
"fax_number": "571-458-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRZA",
"first_name": "SOHAIL",
"middle_name": "K",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MA",
"license": "79228",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NH",
"license": "14258",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "VA",
"license": "0101261117",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "79154 8002",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CO",
"license": "34710",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "WA",
"license": "MD00031150",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015431",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30208086",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.