Individual provider Active NPI

Danish Mirza, D.O.

  • Internal Medicine Physician
  • Vancouver, WA
National Provider Identifier
1184005332
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO185061 Issued in OR
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

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians
Impact Physician Group LLCGroup PAC ID 6204199086, 26 clinicians
Vibra Physicians LLCGroup PAC ID 8921233933, 30 clinicians
Daiya Healthcare PLLCGroup PAC ID 6002158615, 80 clinicians
Grant County Public Hospital District 1Group PAC ID 9931095692, 112 clinicians
Wa Pacs 2 PCGroup PAC ID 6901156538, 26 clinicians
Apogee Medical Group PCGroup PAC ID 8820980188, 21 clinicians
Impact Physician Group Washington LLCGroup PAC ID 7315333838, 6 clinicians
CRM Physicians LLCGroup PAC ID 3678720729, 59 clinicians
Washington Pac Services PCGroup PAC ID 4082986070, 43 clinicians
CS Pacs 3 Northwest LLCGroup PAC ID 8729526496, 26 clinicians

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 Hospital, Pendleton, OR, CCN 381319
  • Samaritan Hospital Hospital, Moses Lake, WA, CCN 500033
  • Adventist Health Tillamook Hospital, Tillamook, OR, CCN 381317
  • Vibra Specialty Hospital of Portland Long-term care hospital, Portland, OR, CCN 382004
  • Lacamas Creek Post Acute Nursing home, Camas, WA, CCN 505273
  • Fairlawn Health and Rehabilitation of Cascadia Nursing home, Gresham, OR, CCN 385133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Foundation of Tillamook CurrentSince May 29, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 15, 2021 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Feb 20, 2026 Accepting new patients
Impact Physician Group, LLC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince May 29, 2024 Accepting new patients
Impact Physician Group, Washington LLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Feb 15, 2024 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Mar 15, 2021 Accepting new patients
Vibra Physicians LLC CurrentSince Jul 22, 2025 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Sep 15, 2025 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Nov 13, 2023 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Daiya Healthcare PLLC Internal Medicine CurrentSince Dec 8, 2025 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Feb 15, 2024 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Jan 1, 2026 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Wa Pacs 2 PC CurrentSince Sep 15, 2025 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Nov 13, 2023 Accepting new patients
Apogee Medical Group PC Internal Medicine CurrentSince Dec 10, 2025 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Feb 20, 2026 Accepting new patients
Apogee Medical Group PC Internal Medicine CurrentSince Dec 10, 2025 Accepting new patients
Washington Pac Services PC CurrentSince Sep 15, 2025 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

  • Direct secure messaging: 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.

View all 32

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.