Active NPI
Danish Mirza, D.O.
- Internal Medicine Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO185061
- Practice address
- 2805 NE 129TH St
Vancouver, WA 98686-3324 - Phone
- (971) 910-3090
- NPI assigned
- Jun 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OP61505037 | WA | |
| Internal Medicine Physician | 207R00000X | DO185061 | OR | Primary |
Addresses
Primary practice location
2805 NE 129TH St
Vancouver, WA 98686-3324
Mailing address
2805 NE 129TH St
Vancouver, WA 98686-3324
Phone (971) 910-3090
Other practice location 1
1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone (303) 390-1940
Other practice location 2
603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (303) 390-1940
Other practice location 3
1000 3rd St
Tillamook, OR 97141-3430
Phone (503) 842-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180920002052 | OR | Practitioner - Internal Medicine | 7517218118 | Reassigns benefits to 9 organizations |
| I20240301001794 | WA | Practitioner - Internal Medicine | 7517218118 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 3Rd St
Tillamook, OR 97141-3430
Phone (503) 842-4444
10300 NE Hancock St
Portland, OR 97220-3831
Phone (503) 257-5500
10435 SE Cora St
Portland, OR 97266-2331
Phone (206) 823-1004
2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone (509) 765-5606
23600 Marine View Dr S
Des Moines, WA 98198-7352
Phone (206) 870-6600
2801 St Anthony Way
Pendleton, OR 97801-3800
Phone (541) 278-6616
2805 NE 129TH St
Vancouver, WA 98686-3324
Phone (360) 787-4092
603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (509) 962-9841
6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone (503) 430-1777
740 NE Dallas St
Camas, WA 98607-2058
Phone (360) 834-5055
Hospital & facility affiliations
- St Anthony Hospital
- Samaritan Hospital
- Adventist Health Tillamook
- Vibra Specialty Hospital of Portland
- Lacamas Creek Post Acute
- Fairlawn Health and Rehabilitation of Cascadia
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Grant County Public Hospital District 1 | Current | Accepting new patients | |
| Impact Physician Group, LLC | Internal Medicine | Current | Accepting new patients |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Impact Physician Group, Washington LLC | Internal Medicine | Current | Accepting new patients |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Vibra Physicians LLC | Current | Accepting new patients | |
| CS Pacs 3 Northwest, LLC | Current | Accepting new patients | |
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Rural Physicians Group-Pannu PLLC | Internal Medicine | Current | Accepting new patients |
| Daiya Healthcare PLLC | Internal Medicine | Current | Accepting new patients |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Rural Physicians Group-Pannu PLLC | Internal Medicine | Current | Accepting new patients |
| Wa Pacs 2 PC | Current | Accepting new patients | |
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Apogee Medical Group PC | Internal Medicine | Current | Accepting new patients |
| Grant County Public Hospital District 1 | Current | Accepting new patients | |
| Apogee Medical Group PC | Internal Medicine | Current | Accepting new patients |
| Washington Pac Services PC | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Battleground of Cascadia LLC | Past | Accepting new patients | |
| Santiam Memorial Hospital | Past | Accepting new patients | |
| Vibra Specialty Hospital of Portland LLC | Past | Accepting new patients | |
| Lacamas Creek SNF Healthcare LLC | Past | Accepting new patients | |
| Santiam Memorial Hospital | Past | Accepting new patients |
Locations (25 of 33)
5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111
21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321
94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000
2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121
10435 SE Cora St
Portland, OR 97266
Phone (503) 760-1737
10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500
75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713
1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129
1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
1650 W College St
Ste 150
Grapevine, TX 76051
Phone (817) 338-3440
414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748
740 NE Dallas St
Camas, WA 98607
Phone 36073571552058
23600 Marine View Dr S
Des Moines, WA 98198
Phone (206) 636-1645
21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107
603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693
135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433
801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606
2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606
Interoperability endpoints
- danish.mirza@297228672368644.direct.elationemr.com
Organizations & group practices 32
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.
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1457008971
Internal Medicine, WA
-
- Internal Medicine Physician
- Peachtree City, GA
- NPI 1114428612
Internal Medicine, OR
-
- Hospitalist Physician
- Greenwood Village, CO
- NPI 1891236584
Internal Medicine, OR, WA
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Portland, OR
- NPI 1558436006
Long-term care hospital
-
- General Acute Care Hospital
- Moses Lake, WA
- NPI 1902818883
Hospital
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1699146159
Hospital
-
- Rural Health Clinic/Center
- Tillamook, OR
- NPI 1841451853
Hospital
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1184005332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 NE 129TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986863324",
"telephone_number": "971-910-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 NE 129TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986863324",
"telephone_number": "971-910-3090"
}
],
"practiceLocations": [
{
"address_1": "1016 Tacoma Ave",
"address_purpose": "LOCATION",
"city": "Sunnyside",
"state": "WA",
"postal_code": "989442263",
"country_code": "US",
"telephone_number": "303-390-1940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "603 S Chestnut St",
"address_purpose": "LOCATION",
"city": "Ellensburg",
"state": "WA",
"postal_code": "989263875",
"country_code": "US",
"telephone_number": "303-390-1940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 3rd St",
"address_purpose": "LOCATION",
"city": "Tillamook",
"state": "OR",
"postal_code": "971413430",
"country_code": "US",
"telephone_number": "503-842-4444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRZA",
"first_name": "DANISH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-13",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "OP61505037",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "DO185061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.