Active NPI
Nayab Mirza
- Neurology Physician
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD488451
- Practice address
- 958 Isabel Dr
Lebanon, PA 17042-7482 - Phone
- (717) 639-2978
- NPI assigned
- Jun 29, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD488451 | PA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT222375 | PA | |
| Neurology Physician | 2084N0400X | FM5126265 | PA |
Addresses
Primary practice location
958 Isabel Dr
Lebanon, PA 17042-7482
Mailing address
PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324
Other practice location 1
368 W Main St Ste 100
Leola, PA 17540-1761
Phone (717) 721-8789
Other practice location 2
207 W Fulton St
Ephrata, PA 17522-1902
Phone (717) 721-8789
Other practice location 3
420 S 5th Ave
West Reading, PA 19611-2143
Phone (484) 628-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Neurology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
958 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 639-2978
Hospital & facility affiliations
- Wellspan Good Samaritan Hospital
- Wellspan Ephrata Community Hospital
- Milton S Hershey Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD488451 | PA | MD | Neurology Physician |
| MT222375 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
207 W Fulton St
Ephrata, PA 17522
Phone (717) 721-8789
958 Isabel Dr
Lebanon, PA 17042
Phone (717) 639-2978
368 W Main St
#100
Leola, PA 17540
Phone (717) 656-6122
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- nmirza468412@wellspan.direct-ci.com
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- Littlestown, PA
- NPI 1770651804
-
- Family Medicine Physician
- York, PA
- NPI 1598862716
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1356911713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579",
"telephone_number": "484-628-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "958 ISABEL DR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427482",
"telephone_number": "717-639-2978"
}
],
"practiceLocations": [
{
"address_1": "368 W Main St Ste 100",
"address_purpose": "LOCATION",
"city": "Leola",
"state": "PA",
"postal_code": "175401761",
"country_code": "US",
"telephone_number": "717-721-8789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "207 W Fulton St",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175221902",
"country_code": "US",
"telephone_number": "717-721-8789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "420 S 5th Ave",
"address_purpose": "LOCATION",
"city": "West Reading",
"state": "PA",
"postal_code": "196112143",
"country_code": "US",
"telephone_number": "484-628-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRZA",
"first_name": "NAYAB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD488451",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT222375",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "FM5126265",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.