Shahzaib Mirza, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME128220 Issued in FL

Practice address

4300 Kings Hwy Ste 500
Port Charlotte, FL 33980-2953

Phone

(393) 442-3252

Fax

(941) 764-6176

NPI assigned

Nov 7, 2013

Last updated

Aug 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Shahzaib Mirza MD Medical Partners PA

  dba Starz Pediatrics

  • Pediatrics Physician
  • Estero, FL
  • NPI 1649949447
  NPD Authorized official

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1225467467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919771",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919771",
            "telephone_number": "239-278-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 KINGS HWY STE 500",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802953",
            "telephone_number": "393-442-3252",
            "fax_number": "941-764-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "SHAHZAIB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME128220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017589500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Miller
• Mercaide Millett-Polston
• Teresa Marie Minucci
• Miracle Vision Inc. (Eyeglass Maxx)
• Rashid Mirza, MD
• Savanna Misciagna, PA
• Mission Unity Inc
• Kristin Elizabeth Mitchell, MSN, FNP-C
• Jason M Mlnarik, DO
• Mobile Ekg

• Pediatrics Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.