Individual provider Active NPI

Muhammad Usama Zafar Mirza, M.D

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1285319152
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3014559 Issued in MA
Practice address
Steward Carney Hospital 2100 Dorchester Avenue
Boston, MA 02124
Phone
(617) 506-2726
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3014559 MA Primary

Addresses

Primary practice location

Steward Carney Hospital 2100 Dorchester Avenue
Boston, MA 02124

Mailing address

Saint Elizabeth Medical Center
736 Cambridge Street, Brighton
Boston, MA 02135
Phone (617) 506-2726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260422002677 MA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6800363284

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3014559MAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: mmirza257527@direct.bmc.masshiway.net

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1285319152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAINT ELIZABETH MEDICAL CENTER",
            "address_2": "736 CAMBRIDGE STREET, BRIGHTON",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-506-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STEWARD CARNEY HOSPITAL 2100 DORCHESTER AVENUE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02124",
            "telephone_number": "617-506-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "MUHAMMAD USAMA ZAFAR",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "3014559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.