Ahmed Ihsan Mirza, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

079537-23 Issued in NH

Practice address

19100 Goddard Rd
Allen Park, MI 48101-1156

Phone

(313) 763-0309

Fax

(313) 771-9947

NPI assigned

Jan 11, 2019

Sex

Male

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, MI, ME3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medworks Urgent Care PLLC 2 clinicians

Family Doc Clinic and Urgent Care PLLC 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amirza1760040@direct.trinity-health.org

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.

• Medworks Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Allen Park, MI
  • NPI 1356047773

  Family, MI

  Medicare reassignment Care Compare group NPD Authorized official
• Family Doc Clinic and Urgent Care PLLC

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1104406289

  MI

  Medicare reassignment Care Compare group NPD
• Degara App, PLLC

  • Emergency Medicine Physician
  • Lansing, MI
  • NPI 1265976971

  MI

  Medicare reassignment NPD
• Epmg of Michigan, P.C.

  • Emergency Medicine Physician
  • Livonia, MI
  • NPI 1386688992

  MI

  Medicare reassignment NPD
• Family Doc Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Dearborn Heights, MI
  • NPI 1083294052

  MI

  Medicare reassignment NPD
• Munson Healthcare Cadillac

  • Rural Health Clinic/Center
  • MC Bain, MI
  • NPI 1336539063

  MI

  Medicare reassignment NPD
• Emergency Associates of Central Texas PA

  • Emergency Medicine Physician
  • Killeen, TX
  • NPI 1215418280

  TX

  Medicare reassignment NPD
• Heart of Texas Cardiology, P.a.

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1942410139

  TX

  Medicare reassignment NPD
• Longhorn Emergency Medical Associates PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1649669672

  TX

  Medicare reassignment NPD
• Post Acute Specialists of Texas PA

  • Geriatric Medicine (Family Medicine) Physician
  • Austin, TX
  • NPI 1942859350

  Family, TX

  Medicare reassignment NPD
• Family Doc Ap PLLC

  • Family Medicine Physician
  • Allen Park, MI
  • NPI 1134807746
  NPD Authorized official
• Munson Healthcare Cadillac

  • Psychiatry Physician
  • Traverse City, MI
  • NPI 1720955081
  NPD

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

• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119

  Hospital

  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997

  Hospital

  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305

  Hospital

  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686960000000",
    "number": "1407320559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 GODDARD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011156",
            "telephone_number": "313-763-0309",
            "fax_number": "313-771-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 GODDARD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011156",
            "telephone_number": "313-763-0309",
            "fax_number": "313-771-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "AHMED",
        "middle_name": "IHSAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-11",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "079537-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Miazga
• Michigan Bio Tech Partners, LLC
• Michigan Healthcare Professionals, P.C.
• April Miles
• Sharon Lynne Miller, RN
• Modern Day Midwifery LLC
• Arwa Hussein Ahmed Mohammed
• Monarch Pharmacy PLLC
• Monarch Urgent Care
• Brittney Lynn Morgan, D.O.

• All providers in Allen Park, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2023; 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.