Individual provider Active NPI

Mirza Suleman Beg, MD

  • Neurology Physician
  • South Daytona, FL
National Provider Identifier
1225064322
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
202303 Issued in NY
Practice address
801 Beville Rd
Ste 101
South Daytona, FL 32119-1861
Phone
(718) 426-9595
NPI assigned
Jun 23, 2006
Last updated
Apr 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 202303 NY Primary

Addresses

Primary practice location

801 Beville Rd
Ste 101
South Daytona, FL 32119-1861

Mailing address

2036 Sultan Cir
Chuluota, FL 32766-8429
Phone (201) 522-0646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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
I20110602000290 FL Practitioner - NeurologyPractitioner - Interventional Pain ManagementPractitioner - Internal Medicine 5496723561 Reassigns benefits to 1 organization
Practice locations: South Daytona, FL; Celebration, FL
I20260330003794 TX Practitioner - Neurology 5496723561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

10851 Crescent Moon Dr
Houston, TX 77064-4020
Phone (312) 945-7444

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202303NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Neurology, Inc. Neurology CurrentSince May 27, 2015 Accepting new patients
U.S. Neurology, P.C. Neurology Past Accepting new patients
Mobile Medical Industries Inc Past Accepting new patients
Prime Care Medical of Brighton PC PastSince Jul 13, 2009 Accepting new patients
Retinovitreous Associates LTD PastSince Aug 1, 2013 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
Cardiology Solutions, PLLC Past Accepting new patients

Locations

725 W Granada Blvd
Ste 22
Ormond Beach, FL 32174
Phone (386) 274-0097

801 Beville Rd
Ste 101
South Daytona, FL 32119
Phone (386) 788-2300

Interoperability endpoints

  • Direct secure messaging: mirza.beg.1@15649.direct.athenahealth.com

Organizations & group practices 9

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1225064322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 SULTAN CIR",
            "city": "CHULUOTA",
            "state": "FL",
            "postal_code": "327668429",
            "telephone_number": "201-522-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BEVILLE RD",
            "address_2": "STE 101",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191861",
            "telephone_number": "718-426-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEG",
        "first_name": "MIRZA",
        "middle_name": "SULEMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "202303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

Verify at the official NPI Registry.