Individual provider Active NPI

Mirza N Baig, M.D., PH.D.

  • Neurological Surgery Physician
  • Shenandoah, TX
National Provider Identifier
1194947879
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
N8485 Issued in TX
Practice address
111 Vision Park Blvd
Suite 220
Shenandoah, TX 77384-3002
Phone
(855) 457-7463
Fax
(855) 356-3876
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 87550 OH
Neurological Surgery Physician 207T00000X 38482 IA
Neurological Surgery Physician 207T00000X N8485 TX Primary

Addresses

Primary practice location

111 Vision Park Blvd
Suite 220
Shenandoah, TX 77384-3002

Mailing address

111 Vision Park Blvd
Suite 220
Shenandoah, TX 77384-3002
Phone (855) 457-7463

Other identifiers 2

IdentifierTypeStateIssuer
494695OtherIACOVENTRY HEALTH CARE
165644OtherIAHEALTH ALLIANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
38482IAMDNeurological Surgery Physician
87550OHMDNeurological Surgery Physician
N8485TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Iom, PLLC Current Accepting new patients
Crna Group of Texas LLC CurrentSince Mar 1, 2023 Accepting new patients
Spring Anesthesia Staffing Services LLC CurrentSince Mar 1, 2023 Accepting new patients
Sterling Ridge Orthopaedics and Sports Medicine, LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1194947879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 VISION PARK BLVD",
            "address_2": "SUITE 220",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843002",
            "telephone_number": "855-457-7463",
            "fax_number": "855-356-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VISION PARK BLVD",
            "address_2": "SUITE 220",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843002",
            "telephone_number": "855-457-7463",
            "fax_number": "855-356-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIG",
        "first_name": "MIRZA",
        "middle_name": "N",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "87550",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IA",
            "license": "38482",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "N8485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "494695",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "165644",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.