Active NPI
Ashra Mirza, NP
- Family Nurse Practitioner
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704275007
- Practice address
- 34020 7 Mile Rd Ste 101
Livonia, MI 48152-3093 - Phone
- (248) 900-1555
- Fax
- (248) 516-5017
- NPI assigned
- Jun 27, 2015
- Last updated
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704275007 | MI | Primary |
Addresses
Primary practice location
34020 7 Mile Rd Ste 101
Livonia, MI 48152-3093
Mailing address
PO Box 30148
Belfast, ME 04915-2053
Phone (888) 488-8289
Other practice location 1
42645 Garfield Rd Ste 103
Clinton Township, MI 48038-5022
Phone (586) 286-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316329246 | Medicaid | MI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ashra.mirza.1@24274.direct.athenahealth.com | Direct | |
| Direct Messaging Address | ashra.mirza.1@24274.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
34020 7 Mile Rd
Suite 101
Livonia, MI 48152-3093
Phone (248) 900-1555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704275007 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgery and Spine Care PLLC | Current | Accepting new patients | |
| Neurosurgery and Spine Care PLLC | Current | Accepting new patients | |
| Ayman Tarabishy MD PLLC | Current | Accepting new patients | |
| Ayman Tarabishy MD PLLC | Current | Accepting new patients |
Locations
31500 Telegraph Rd
Ste 205
Bingham Farms, MI 48025
Phone (248) 593-9933
1221 Bowers St
Unit 940
Birmingham, MI 48012
42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
34020 7 Mile Rd
Ste 101
Livonia, MI 48152
Phone (248) 516-5016
Interoperability endpoints
- ashra.mirza.1@24274.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Enhance Center for Interventional Spine and Sports
- Pain Medicine (Anesthesiology) Physician
- Livonia, MI
- NPI 1548624984
-
- Neurological Surgery Physician
- Farmington Hills, MI
- NPI 1144818436
-
dba Enhance Center for Interventional Spine and Sports
- Durable Medical Equipment & Medical Supplies
- Clinton Township, MI
- NPI 1407586134
-
dba Enhance Center for Interventional Spine and Sports
- Durable Medical Equipment & Medical Supplies
- Clinton Township, MI
- NPI 1063386936
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital-Farmington Hills
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
dba Internal Medicine Associates Farmington Hills
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1538103395
Hospital
-
dba Botsford Thoracic Surgery Clinic
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1912335373
Hospital
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1316329246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30148",
"city": "BELFAST",
"state": "ME",
"postal_code": "049152053",
"telephone_number": "888-488-8289",
"fax_number": "502-919-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34020 7 MILE RD STE 101",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523093",
"telephone_number": "248-900-1555",
"fax_number": "248-516-5017"
}
],
"practiceLocations": [
{
"address_1": "42645 Garfield Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Clinton Township",
"state": "MI",
"postal_code": "480385022",
"country_code": "US",
"telephone_number": "586-286-7246",
"fax_number": "586-329-4757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRZA",
"first_name": "ASHRA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-27",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704275007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316329246",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ashra.mirza.1@24274.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "42645 Garfield Rd Ste 103",
"city": "Clinton Township",
"state": "MI",
"country_code": "US",
"postal_code": "480385022",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ashra.mirza.1@24274.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "34020 7 Mile Rd Ste 101",
"city": "Livonia",
"state": "MI",
"country_code": "US",
"postal_code": "481523093",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.