Individual provider Active NPI

Syed Hamad Mirzan, MD

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1396000469
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME142677 Issued in FL
Practice address
52 W Underwood St Dept of
Orlando, FL 32806-1110
Phone
(321) 842-8475
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 269529 MA
Diagnostic Radiology Physician 2085R0202X ME142677 FL Primary

Addresses

Primary practice location

52 W Underwood St Dept of
Orlando, FL 32806-1110

Mailing address

52 W Underwood St Dept of
Orlando, FL 32806-1110
Phone (321) 842-8475

Other identifiers 4

IdentifierTypeStateIssuer
PT381OtherFLMEDICARE PTAN OHMG
9OZZCOtherFLBCBS
O5803OtherFLMEDICARE PTAN OHRI
104583200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20191216001999 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3779860333 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians
Ohri LLCGroup PAC ID 4981912169, 130 clinicians

Practice addresses (Care Compare)

1414 Kuhl Ave
Orlando, FL 32806-2008
Phone (407) 841-5111

1700 S Tamiami Trail
FPG Central Billing Office
Sarasota, FL 34239-3509

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760

1921 Waldemere St
Sarasota, FL 34239-2941

1950 Arlington St
Suite 101
Sarasota, FL 34239-3508
Phone (941) 917-3400

2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (941) 917-4896

398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME142677FLMDDiagnostic Radiology Physician
269529MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Dec 1, 2019 Accepting new patients
SMH Physician Services Inc CurrentSince Feb 2, 2026 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Dec 1, 2019 Accepting new patients
Ohi West Medical Group, LLC Diagnostic Radiology CurrentSince Nov 2, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Ohri, LLC Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince May 15, 2024 Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
Ohri, LLC CurrentSince Feb 1, 2022 Accepting new patients
Bayfront Health Imaging Center LLC Diagnostic Radiology Past Accepting new patients

Locations

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

20 W Kaley St
Orlando, FL 32806
Phone (407) 423-2581

9400 Turkey Lake Rd
#P
Orlando, FL 32819
Phone (407) 351-8519

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

2201 Central Ave
#100
St Petersburg, FL 33713
Phone (727) 321-7057

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: smirzan189402@orlandohealth.medalliesdirect.net

Organizations & group practices 12

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 5

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1396000469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W UNDERWOOD ST DEPT OF",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-842-8475",
            "fax_number": "407-849-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W UNDERWOOD ST DEPT OF",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-842-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZAN",
        "first_name": "SYED",
        "middle_name": "HAMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "269529",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME142677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OHMG",
            "identifier": "PT381",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9OZZC",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OHRI",
            "identifier": "O5803",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104583200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.