Mariam Bakran Mirza, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD452979 Issued in PA

Practice address

133 Lancaster Ave
Devon, PA 19333-1503

Phone

(484) 581-2990

NPI assigned

Jul 14, 2011

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Family Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

92.56

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Primary Health Physicians, PLLC

  • Urgent Care Clinic/Center
  • Denton, TX
  • NPI 1770048704
  Medicare reassignment Care Compare group NPD
• Integrative Emergency Services Physician Group PA

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1285922542
  Medicare reassignment NPD
• Medexpress Urgent Care Texas, P.a.

  dba MedExpress Urgent Care - Little Elm, E Eldorado Pkwy

  • Urgent Care Clinic/Center
  • Little Elm, TX
  • NPI 1194246884
  Medicare reassignment NPD
• Medexpress Urgent Care Texas, P.a.

  dba MedExpress Urgent Care - Irving, N Belt Line Rd

  • Urgent Care Clinic/Center
  • Irving, TX
  • NPI 1730673922
  NPD
• Medexpress Urgent Care Texas, P.a.

  dba MedExpress Urgent Care - Waxahachie, N Highway 77

  • Urgent Care Clinic/Center
  • Waxahachie, TX
  • NPI 1235633306
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1376831107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LANCASTER AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331503",
            "telephone_number": "484-581-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3413 N Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750627802",
            "country_code": "US",
            "telephone_number": "972-252-9809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "MARIAM",
        "middle_name": "BAKRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD452979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria G Melli, MD
• Laura Marie Mertz, MA, CCC-SLP
• Kathryn S Miller, LCSW
• Yasmin Miranda
• Jayavantika Rohan Mirchandani
• Katharine Elizabeth Moody
• Shervon Moore, RN 617406
• Anthony Morgan, LPC
• Roxanne Morrison, RN,CD,PCP(DONA)
• Valerie Moser

• Family Medicine Physician in Devon, PA
• Providers in Devon, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.