Active NPI
Michael Mirzoyan, M.D.
- Pulmonary Disease Physician
- Plattsburgh, NY
National Provider Identifier
1073787545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 283457
- Practice address
- 75 Beekman St
Plattsburgh, NY 12901-1427 - Phone
- (518) 561-2000
- NPI assigned
- Apr 16, 2008
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2016040161 | MO | |
| Internal Medicine Physician | 207R00000X | 25MA09265600 | NJ | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 15307 | NV | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4301106904 | MI | |
| Pulmonary Disease Physician | 207RP1001X | 283457 | NY | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | S0745 | TX | |
| Pulmonary Disease Physician | 207RP1001X | 5720 | TN |
Addresses
Primary practice location
75 Beekman St
Plattsburgh, NY 12901-1427
Mailing address
75 Beekman St
Plattsburgh, NY 12901-1427
Phone (518) 561-2000
Other practice location 1
1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-7878
Other practice location 2
150 Bergen St
Uh I-354
Newark, NJ 07103-2496
Phone (973) 972-6111
Other practice location 3
600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09265600 | NJ | MD | Internal Medicine Physician |
| S0745 | TX | MD | Critical Care Medicine (Internal Medicine) Physician |
| 283457 | NY | MD | Pulmonary Disease Physician |
| 5720 | TN | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allison Curtis Kingsley Meoz Michael & Sanchez PC | Pulmonary Disease | Past | Accepting new patients |
| University Physician Associates of New Jersey Inc | Family Medicine | Past | Accepting new patients |
| University Physician Associates of New Jersey Inc | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- mmirzoyan133738@direct.renown.org
- mmirzoyan532105@direct.uvmhealth.org
- michaelmirzoyan@lungcenter.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Las Vegas, NV
- NPI 1598770471
Pulmonary Disease
-
- Family Medicine Physician
- Newark, NJ
- NPI 1467462168
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1073787545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 BEEKMAN ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129011427",
"telephone_number": "518-561-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BEEKMAN ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129011427",
"telephone_number": "518-561-2000"
}
],
"practiceLocations": [
{
"address_1": "1155 Mill St",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895021576",
"country_code": "US",
"telephone_number": "775-982-7878",
"fax_number": "775-982-4196",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Bergen St",
"address_2": "UH I-354",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071032496",
"country_code": "US",
"telephone_number": "973-972-6111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Elizabeth St",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784042235",
"country_code": "US",
"telephone_number": "361-881-3000",
"fax_number": "361-881-3149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRZOYAN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-16",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MO",
"license": "2016040161",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09265600",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NV",
"license": "15307",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MI",
"license": "4301106904",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "283457",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "S0745",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "5720",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.