Active NPI
Gulnaz Mirza, MD
- Endocrinology, Diabetes & Metabolism Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME0076874
- 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, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2787055 | Other | AETNA | |
| 262162200 | Medicaid | FL | |
| 7013340 | Other | AETNA | |
| 49219 | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Gulnaz Akhtar
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
Enrollment records 1
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 100
- Quality
- 95.15
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0076874 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endocrinology and Diabetes Consultants | Current | 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
- https://fhir4.healow.com/fhir/r4/DDGCBA
- 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.
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- Clinic/Center
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- NPI 1609105766
-
- Endocrinology, Diabetes & Metabolism Physician
- Lake Worth, FL
- NPI 1427082031
-
- Endocrinology, Diabetes & Metabolism Physician
- Palm Beach Gardens, FL
- NPI 1104019934
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.