Active NPI
Haaris Saadullah Mir, MD
- Plastic and Reconstructive Surgery Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME108922
- Practice address
- 11750 Bird Rd
Miami, FL 33175-3530 - Phone
- (706) 863-9595
- Fax
- (706) 868-8375
- NPI assigned
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME108922 | FL | |
| Surgery Physician | 208600000X | 70812 | GA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 70812 | GA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME108922 | FL | Primary |
Addresses
Primary practice location
11750 Bird Rd
Miami, FL 33175-3530
Mailing address
PO Box 3725
Augusta, GA 30914-3725
Phone (706) 863-9595
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HAARIS.MIR@hca4.eclinicaldirectplus.com |
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
- Plastic and Reconstructive Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11750 SW 40 St
Miami, FL 33175-3530
Phone (305) 854-4400
Hospital & facility affiliations
- HCA Florida Kendall Hospital
- Mariners Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 11 |
| Removal of tissue | 117 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70812 | GA | MD | Surgery Physician |
| ME108922 | FL | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach General Surgery LLC | Surgery | Current | Accepting new patients |
| Palm Beach General Surgery LLC | Surgery | Past | Accepting new patients |
Locations
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
6705 SW 57th Ave
Ste 504
South Miami, FL 33143
Phone (305) 669-7331
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- haaris.mir@hca4.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Loxahatchee, FL
- NPI 1235326760
-
- Surgery Physician
- Atlantis, FL
- NPI 1710040266
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami, FL
- NPI 1710931522
-
- Critical Access Hospital
- Tavernier, FL
- NPI 1518941806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1285827337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3725",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309143725",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 BIRD RD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753530",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIR",
"first_name": "HAARIS",
"middle_name": "SAADULLAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2022-02-01",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME108922",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "70812",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "GA",
"license": "70812",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME108922",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "HAARIS.MIR@hca4.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "11750 Bird Rd",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331753530",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.