Brian Mirza, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M8186 Issued in TX

Practice address

5757 Westheimer Rd Ste 100B
Houston, TX 77057

Phone

(713) 339-1353

Fax

(713) 339-1838

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 28, 2017 through Jul 28, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bariatric Managment Inc

  • Surgery Physician
  • Houston, TX
  • NPI 1871804112
  NPD (past) Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1164522231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56612",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772566612",
            "telephone_number": "832-221-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WESTHEIMER RD STE 100B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77057",
            "telephone_number": "713-339-1353",
            "fax_number": "713-339-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M8186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2482040",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deepika Sonali Miryala
• Mirza Tech LLC
• Alisa Juanelle Mirza, CRNA
• Ayesha Humayun Mirza
• Aymen Shakeel Mirza
• Farrah Mirza, NP
• Hira Humayun Mirza
• Kazim H. Mirza, D.O.
• Rubab Mirza, DDS
• Saiyada Mirza, MD

• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.