NPIMap

Individual provider Active NPI

Ali Y Mirza, MD

  • Internal Medicine Physician
  • Schenectady, NY
National Provider Identifier
1477535458
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209390 Issued in NY
Practice address
1150 Nott St
Nott Street Medical PLLC
Schenectady, NY 12308-2426
Phone
(518) 374-1655
Fax
(518) 374-1657
NPI assigned
Nov 16, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 209390 NY Primary

Addresses

Primary practice location

1150 Nott St
Nott Street Medical PLLC
Schenectady, NY 12308-2426

Mailing address

1150 Nott St
Nott Street Medical PLLC
Schenectady, NY 12308-2426
Phone (518) 374-1655

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
I20041018000348 NY Practitioner - Internal Medicine 8628038338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Nott Street Medical PLLCGroup PAC ID 5193999670, 5 clinicians
CLR Schenectady LLCGroup PAC ID 2567737893, 3 clinicians

Practice addresses (Care Compare)

1150 Nott St
Schenectady, NY 12308-2426
Phone (518) 374-1655

526 Altamont Ave
Schenectady, NY 12303-1039
Phone (518) 346-6121

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nott Street Medical, PLLC Internal Medicine CurrentSince Aug 1, 2003 Accepting new patients
CLR Schenectady LLC CurrentSince Sep 5, 2017 Accepting new patients
Medical Director Services PC CurrentSince Oct 4, 2017 Accepting new patients
Delmar SNF Operations Associates LLC Past Accepting new patients
Daughters of Sarah Nursing Center, Inc. Past Accepting new patients
Good Samaritan Lutheran Health Care Center, Inc. Past Accepting new patients
Jbrnc LLC Past Accepting new patients
Csrnc, LLC Past Accepting new patients
Schenectady County Past Accepting new patients
Rsrnc, LLC Past Accepting new patients
CLR Schenectady LLC Past Accepting new patients

Locations

180 Washington Avenue Ext
Albany, NY 12203
Phone (518) 456-7831

1150 Nott St
Schenectady, NY 12308
Phone (518) 374-1655

526 Altamont Ave
Schenectady, NY 12303
Phone (518) 346-6121

59 Hetcheltown Rd
Scotia, NY 12302
Phone (518) 384-3600

49 Marvin Ave
Troy, NY 12180
Phone (518) 272-6717

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Bonadio GroupAlbany, NY, CCN 335465 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 2, 2018
Apr 2, 2018
Saratoga HospitalSaratoga Springs, NY, CCN 335394 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Schenectady Center for Rehabilitation and Nursing.Schenectady, NY, CCN 335014 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 5, 2017
Sep 5, 2017
Wesley Health Care Center, Inc.Saratoga Springs, NY, CCN 335394002 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2018
Jan 1, 2018

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477535458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NOTT ST",
            "address_2": "NOTT STREET MEDICAL PLLC",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082426",
            "telephone_number": "518-374-1655",
            "fax_number": "518-374-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NOTT ST",
            "address_2": "NOTT STREET MEDICAL PLLC",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082426",
            "telephone_number": "518-374-1655",
            "fax_number": "518-374-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "ALI",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.