Ali Y Mirza, MD

Individual provider Active NPI Internal Medicine Physician · Schenectady, NY

NPI 1477535458 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1477535458
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
209390 (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
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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

Owned or controlled facilities with NPI records 4

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Nott Street Medical PLLC (5 clinicians)
CLR Schenectady LLC (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

  • Community Hospice, Inc, the Hospice · Albany, NY · CCN 331501
  • St Peter'S Hospital Hospital · Albany, NY · CCN 330057
  • Ellis Hospital Hospital · Schenectady, NY · CCN 330153
  • Schenectady Center for Rehabilitation and Nursing Nursing home · Schenectady, NY · CCN 335014
  • Delmar Center for Rehabilitation and Nursing Nursing home · Delmar, NY · CCN 335735
  • Capstone Center for Rehabilitation and Nursing Nursing home · Amsterdam, NY · CCN 335543
  • Riverside Center for Rehabilitation and Nursing Nursing home · Castleton on Hudson, NY · CCN 335525
  • Glendale Home-Schdy Cnty Dept Social Services Nursing home · Scotia, NY · CCN 335252

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

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 Group
Albany, NY · CCN 335465
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 2, 2018
Apr 2, 2018
Saratoga Hospital
Saratoga 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

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041018000348 NY Practitioner - Internal Medicine 8628038338 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
209390NYMDInternal Medicine Physician

Practice roles

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

Locations

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

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

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

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 209390 NY Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "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

All providers in Schenectady, NY · Internal Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.