Individual provider Active NPI

Gulnaz Mirza, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Boynton Beach, FL
National Provider Identifier
1215904354
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME0076874 Issued in FL
Practice address
8190 S Jog Rd
Suite 120
Boynton Beach, FL 33472-2912
Phone
(561) 964-1411
Fax
(561) 964-3039
NPI assigned
Mar 8, 2006
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME0076874 FL Primary

Addresses

Primary practice location

8190 S Jog Rd
Suite 120
Boynton Beach, FL 33472-2912

Mailing address

8190 S Jog Rd
Suite 120
Boynton Beach, FL 33472-2912
Phone (561) 964-1411

Other identifiers 4

IdentifierTypeStateIssuer
2787055OtherAETNA
262162200MedicaidFL
7013340OtherAETNA
49219OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Gulnaz Akhtar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060711000318 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 3779596937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8190 S Jog Rd
Suite 120
Boynton Beach, FL 33472-2911
Phone (561) 964-1411

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0076874FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology and Diabetes Consultants CurrentSince Mar 1, 2000 Accepting new patients
Osa Nyman, MD PA Endocrinology, Diabetes & Metabolism Past Accepting new patients
Gulnaz Mirza MD PA Endocrinology, Diabetes & Metabolism Past Accepting new patients
Endocrinology & Diabetes Consultants Past Accepting new patients

Locations

8190 S Jog Rd
Ste 120
Boynton Beach, FL 33472
Phone (561) 964-1411

4915 S Congress Ave
Ste D
Palm Springs, FL 33461
Phone (561) 641-9411

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDGCBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DDGCBA/Endpoint/DDGCBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1215904354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 S JOG RD",
            "address_2": "SUITE 120",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722912",
            "telephone_number": "561-964-1411",
            "fax_number": "561-964-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 S JOG RD",
            "address_2": "SUITE 120",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722912",
            "telephone_number": "561-964-1411",
            "fax_number": "561-964-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "GULNAZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME0076874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2787055",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262162200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7013340",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "49219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GULNAZ",
            "last_name": "AKHTAR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.