NPIMap

Individual provider Active NPI

Mohammad H Mirza, M.D.

  • Internal Medicine Physician
  • Bath, NY
National Provider Identifier
1386646560
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
176204 Issued in NY
Practice address
7603 Route 54
Bath, NY 14810-7930
Phone
(607) 776-4176
Fax
(607) 776-8032
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 176204 NY Primary

Addresses

Primary practice location

7603 Route 54
Bath, NY 14810-7930

Mailing address

7603 Route 54
Bath, NY 14810-7930
Phone (607) 776-4176

Other identifiers 1

IdentifierTypeStateIssuer
01236337MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000016 NY Practitioner - Internal Medicine 7012068455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Finger Lakes InternistsGroup PAC ID 0446301808, 2 clinicians
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

7603 Route 54
Bath, NY 14810-7930
Phone (607) 776-4166

7603 Rte
Suite 54
Bath, NY 14810-7930

7603 State Route 54
Bath, NY 14810-7930

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Corning, NY, CCN 337292
  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Carefirst / Southern Tier Hospice and Palliative Hospice, Painted Post, NY, CCN 331513
  • Corning Hospital Hospital, Corning, NY, CCN 330277
  • Ira Davenport Memorial Hospital Hospital, Bath, NY, CCN 330800
  • St James Hospital Hospital, Hornell, NY, CCN 330151
  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090

Merit-based Incentive Payment System (MIPS)

Final score
94.15 of 100Reported as individual
Quality
85.39
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Jan 1, 2026 Accepting new patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Finger Lakes Internists Internal Medicine CurrentSince Jan 1, 2000 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

7603 State Route 54
Bath, NY 14810
Phone (607) 776-0163

7603 Route 54
Ste 103
Bath, NY 14810
Phone (607) 664-1073

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

Interoperability endpoints

  • Direct secure messaging: mhmirza@fingerlakesinternists.medentdirect.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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1386646560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 ROUTE 54",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148107930",
            "telephone_number": "607-776-4176",
            "fax_number": "607-776-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 ROUTE 54",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148107930",
            "telephone_number": "607-776-4176",
            "fax_number": "607-776-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "MOHAMMAD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "176204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01236337",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, NY

Sources for this page

Verify at the official NPI Registry.