Active NPI
Salman Sikandar Mirza, DO
- Diagnostic Radiology Physician
- Scranton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS017499
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103028133 | Medicaid | PA | |
| 1093722308 | Medicaid | MD | |
| 3058711 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smirza124523@direct.geisinger.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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.
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
- Chenango Memorial Hospital
- Meritus Medical Center
- University of Maryland Medical Center
- University Hospital S U N Y Health Science Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| University of Maryland Diagnostic Imaging Specialists P a | Diagnostic Radiology | Current | Accepting new patients |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Meritus Medical Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| University of Maryland Diagnostic Imaging Specialists P a | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Delaware Valley Hospital, Inc | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Diagnostic Radiology | Current | Accepting new patients |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Current | 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 | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Chenango Memorial Hospital Inc | Current | Accepting new patients | |
| Scranton Hospitalist Physician Services LLC | Diagnostic Radiology | Current | 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
- 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.
-
- Nurse Practitioner
- Hagerstown, MD
- NPI 1205176393
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
PA
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1154335487
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Scranton, PA
- NPI 1023317849
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
-
- Critical Access Hospital
- Walton, NY
- NPI 1417940719
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1255962783
-
- General Acute Care Hospital
- Honesdale, PA
- NPI 1124026182
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
-
- General Acute Care Hospital
- Hagerstown, MD
- NPI 1942281266
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.