Madiha A Mirza, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

181870-1 Issued in NY

Practice address

18 Limestone Dr
Suite 10
Williamsville, NY 14221-8602

Phone

(716) 633-0057

Fax

(716) 633-0378

NPI assigned

Mar 28, 2007

Sex

Female

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 NY

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

Specialty

Psychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Madiha a Mirza MD PC

  • Psychiatry Physician
  • Williamsville, NY
  • NPI 1053534974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295854362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LIMESTONE DR",
            "address_2": "SUITE 10",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218602",
            "telephone_number": "716-633-0057",
            "fax_number": "716-633-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LIMESTONE DR",
            "address_2": "SUITE 10",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218602",
            "telephone_number": "716-633-0057",
            "fax_number": "716-633-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "MADIHA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "181870-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01557597",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole Minter, LPN
• Anthony Mirabella, D.O.
• Laura Miranda, LPN
• Levi Mirochnik
• Raeann Mirowski, RPH
• Afrah Misbah, MD
• Christina Marie Misener, RN
• Misiak Chiropractic PC
• Matthew Mark Misiak, DC
• Molly Misso

• Psychiatry Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.