Active NPI
Hyder I Mirza, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704362811
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 205-7836
- NPI assigned
- Sep 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 041.529930 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704362811 | MI | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 209032471 | IL |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806
Other practice location 1
3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone (313) 605-5981
Other practice location 2
1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 433-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 433-3100
1401 E State St
Rockford, IL 61104-2315
Phone (779) 696-4400
1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.529930 | IL | MD | Critical Care Medicine Registered Nurse |
| 209032471 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monaco Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Rockford Anesthesiologists Associated, L.L.C. | Current | Accepting new patients | |
| Rockford Anesthesiologists Associated, L.L.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
1016 Featherstone Rd
Rockford, IL 61107
Phone (815) 226-3300
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228
Organizations & group practices 7
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
- Peoria, IL
- NPI 1922445527
-
- Certified Registered Nurse Anesthetist
- Loves Park, IL
- NPI 1629090642
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Anesthesiology Physician
- Alma, MI
- NPI 1568125177
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Anesthesiology Physician
- Loves Park, IL
- NPI 1639128598
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1093591786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 3A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "313-874-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-7836"
}
],
"practiceLocations": [
{
"address_1": "3333 Green Bay Rd",
"address_purpose": "LOCATION",
"city": "North Chicago",
"state": "IL",
"postal_code": "600643037",
"country_code": "US",
"telephone_number": "313-605-5981",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 E Norris Dr",
"address_purpose": "LOCATION",
"city": "Ottawa",
"state": "IL",
"postal_code": "613501604",
"country_code": "US",
"telephone_number": "815-433-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRZA",
"first_name": "HYDER",
"middle_name": "I",
"credential": "APRN, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-07",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "IL",
"license": "041.529930",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704362811",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209032471",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.