Individual provider Active NPI

Baila Mir, PA

  • Physician Assistant
  • Riverside, RI
National Provider Identifier
1154206308
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01823 Issued in RI
Practice address
100 Bullocks Point Ave
Riverside, RI 02915-5351
Phone
(401) 437-1000
NPI assigned
Aug 7, 2025
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01823 RI Primary

Addresses

Primary practice location

100 Bullocks Point Ave
Riverside, RI 02915-5351

Mailing address

100 Bullocks Point Ave
Riverside, RI 02915-5351

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address baila.mir.p2@direct.ebcap.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250822000844 RI Practitioner - Physician Assistant 0042710246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Bullocks Point
Riverside, RI 02915-5351

100 Bullocks Point Ave
Riverside, RI 02915-5351
Phone (401) 437-1008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01823RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Community Action Program CurrentSince Aug 11, 2025 Accepting new patients
East Bay Community Action Program Past Accepting new patients

Locations

19 Broadway
Newport, RI 02840
Phone (401) 845-0564

100 Bullocks Point Ave
Riverside, RI 02915
Phone (401) 437-1000

Interoperability endpoints

  • Direct secure messaging: baila.mir.p2@direct.ebcap.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1154206308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BULLOCKS POINT AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BULLOCKS POINT AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155351",
            "telephone_number": "401-437-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIR",
        "first_name": "BAILA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "baila.mir.p2@direct.ebcap.nextgenshare.com",
            "affiliation": "N",
            "address_1": "100 Bullocks Point Ave",
            "city": "Riverside",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029155351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.