Individual provider Active NPI

Salman Sikandar Mirza, DO

  • Diagnostic Radiology Physician
  • Scranton, PA
National Provider Identifier
1093722308
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS017499 Issued in PA
Practice address
1800 Mulberry St.
Scranton, PA 18510-6800
Phone
(570) 703-8151
Fax
(570) 703-8387
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 252879 NY
Diagnostic Radiology Physician 2085R0202X OS017499 PA Primary
Radiation Oncology Physician 2085R0001X 252879 NY
Diagnostic Radiology Physician 2085R0202X 34009816 OH
Diagnostic Radiology Physician 2085R0202X H0102754 MD
Vascular & Interventional Radiology Physician 2085R0204X H0102754 MD

Addresses

Primary practice location

1800 Mulberry St.
Scranton, PA 18510-6800

Mailing address

100 N Acacdemy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 2

22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-3477

Other identifiers 3

IdentifierTypeStateIssuer
103028133MedicaidPA
1093722308MedicaidMD
3058711MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smirza124523@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150617000603 PA Practitioner - Diagnostic Radiology 7810029436 Reassigns benefits to 7 organizations
I20240412001562 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7810029436 Reassigns benefits to 5 organizations
I20250331000910 MD Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7810029436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Valley Hospital Inc.Group PAC ID 2860388337, shared by 3 NPIs, 46 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians
University of Maryland Diagnostic Imaging Specialists P aGroup PAC ID 7719873298, 81 clinicians
United Health Services Hospitals, Inc.Group PAC ID 5193610533, 471 clinicians

Practice addresses (Care Compare)

1 Titus PL
Walton, NY 13856-1457

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

2 Titus PL
Walton, NY 13856-1455
Phone (607) 865-2400

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5700

30 Harrison St
Johnson City, NY 13790-2161
Phone (607) 763-8101

31 Birch Hill Dr
Waverly TWP, PA 18411-8768
Phone (607) 729-1999

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6101

4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 770-7365

4433 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 771-2220

54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272

Hospital & facility affiliations

  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394
  • Chenango Memorial Hospital Hospital, Norwich, NY, CCN 330033
  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology CurrentSince Apr 21, 2025 Accepting new patients
Meritus Medical Center Inc CurrentSince Jun 20, 2025 Accepting new patients
Meritus Medical Center Inc Diagnostic Radiology CurrentSince Jun 20, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology CurrentSince Apr 21, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology CurrentSince Jan 10, 2022 Accepting new patients
Delaware Valley Hospital, Inc Current Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jan 10, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Aug 15, 2024 Accepting new patients
Chenango Memorial Hospital, Inc. CurrentSince Feb 25, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology Current Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
Delaware Valley Hospital, Inc CurrentSince Mar 6, 2024 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Aug 15, 2024 Accepting new patients
Chenango Memorial Hospital Inc CurrentSince Feb 25, 2024 Accepting new patients
Scranton Hospitalist Physician Services LLC Diagnostic Radiology CurrentSince Apr 17, 2025 Accepting new patients
United Medical Associates PC Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197

2 Titus Pl
#13202
Walton, NY 13856
Phone (607) 865-2197

1 Titus Pl
Walton, NY 13856
Phone (607) 337-4700

100 N Academy Ave
Danville, PA 17822

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

Interoperability endpoints

  • Direct secure messaging: smirza1244918@direct.umm.edu

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 6

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1093722308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACACDEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MULBERRY ST.",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185106800",
            "telephone_number": "570-703-8151",
            "fax_number": "570-703-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-3477",
            "fax_number": "410-328-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "SALMAN",
        "middle_name": "SIKANDAR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "252879",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS017499",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "252879",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34009816",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "H0102754",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "H0102754",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103028133",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093722308",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3058711",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smirza124523@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1800 Mulberry St.",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185106800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.