Active NPI
Murtaza Ahmed Mirza
- Cardiovascular Disease Physician
- North Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036.146786
- Practice address
- 3333 Green Bay Rd
North Chicago, IL 60064-3037 - Phone
- (847) 578-3000
- NPI assigned
- Jun 24, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036.146786 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036.146786 | IL | Primary |
| Nuclear Medicine Physician | 207U00000X | 036.146786 | IL |
Addresses
Primary practice location
3333 Green Bay Rd
North Chicago, IL 60064-3037
Mailing address
3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone (847) 578-3000
Other practice location 1
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Other practice location 2
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000
Other practice location 3
875 S Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
Other practice location 4
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Other practice location 5
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.146786 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Saint Anthony Health Affiliates | Current | Accepting new patients | |
| Saint Anthony Health Affiliates | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients |
Locations
2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300
4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
128 S East St
Unit 83
Crown Point, IN 46308
Interoperability endpoints
- mmirza126853@direct.mhemail.org
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1881086064
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- Family Medicine Physician
- Freeport, IL
- NPI 1457337016
-
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1154713980
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1174905277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 GREEN BAY RD",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600643037",
"telephone_number": "847-578-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 GREEN BAY RD",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600643037",
"telephone_number": "847-578-3000"
}
],
"practiceLocations": [
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"fax_number": "815-599-7974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8201 E Riverside Blvd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611142300",
"country_code": "US",
"telephone_number": "815-971-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "875 S Route 31",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "60014",
"country_code": "US",
"telephone_number": "779-220-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 Grant St",
"address_purpose": "LOCATION",
"city": "Harvard",
"state": "IL",
"postal_code": "600331821",
"country_code": "US",
"telephone_number": "815-943-5431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"fax_number": "815-599-7974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRZA",
"first_name": "MURTAZA",
"middle_name": "AHMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-24",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.146786",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036.146786",
"primary": true
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "IL",
"license": "036.146786",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.