Individual provider Active NPI

Zafar K Mirza, MD

  • Gastroenterology Physician
  • Olean, NY
National Provider Identifier
1073586962
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
001683-1 Issued in NY
Practice address
2223 W State St
Suite 115
Olean, NY 14760-1938
Phone
(716) 372-5601
Fax
(716) 372-5616
NPI assigned
Feb 10, 2006
Last updated
Aug 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 001683-1 NY Primary

Addresses

Primary practice location

2223 W State St
Suite 115
Olean, NY 14760-1938

Mailing address

2223 W State St
Suite 115
Olean, NY 14760-1938
Phone (716) 372-5601

Other identifiers 2

IdentifierTypeStateIssuer
02341651MedicaidNY
000526949001OtherNYBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060420000569 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 7911916945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zafar K Mirza Gastroenterology PLLCGroup PAC ID 9234286089, 3 clinicians
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians

Practice addresses (Care Compare)

2223 W State St
Suite 115
Olean, NY 14760-1938
Phone (716) 372-5601

4039 Route 219
Suite 101
Salamanca, NY 14779-9625
Phone (716) 945-0361

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy255
Upper gastrointestinal (GI) endoscopy for acid reflux284

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001683-1NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital CurrentSince Mar 1, 2006 Accepting new patients
Olean General Hospital Gastroenterology CurrentSince Mar 1, 2006 Accepting new patients
Olean General Hospital Past Accepting new patients

Locations

515 Main St
Olean, NY 14760
Phone (716) 373-2600

515 Main St
#13282
Olean, NY 14760
Phone (716) 375-6993

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCIGBA/Endpoint/BCIGBA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Olean General HospitalOlean, NY, CCN 330103 Hospital Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1073586962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 W STATE ST",
            "address_2": "SUITE 115",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601938",
            "telephone_number": "716-372-5601",
            "fax_number": "716-372-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 W STATE ST",
            "address_2": "SUITE 115",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601938",
            "telephone_number": "716-372-5601",
            "fax_number": "716-372-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "ZAFAR",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "001683-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02341651",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000526949001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.