Shirwan Mirza, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

221927 Issued in NY

Practice address

399 Grant Avenue Rd
Suite 1
Auburn, NY 13021-8202

Phone

(315) 253-2669

Fax

(315) 282-0077

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Endocrinology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Auburn Community Hospital Hospital, Auburn, NY, CCN 330235

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Shirwan a Mirza, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Auburn, NY
  • NPI 1376637256
  NPD (past) Authorized official
• Endocrinology, Diabetes & Metabolism, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Auburn, NY
  • NPI 1710255120
  NPD (past)

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

• Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
  • NPI 1093712911
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1497762850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 GRANT AVENUE RD",
            "address_2": "SUITE 1",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130218202",
            "telephone_number": "315-253-2669",
            "fax_number": "315-282-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 GRANT AVENUE RD",
            "address_2": "SUITE 1",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130218202",
            "telephone_number": "315-253-2669",
            "fax_number": "315-282-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "SHIRWAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "221927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01800797",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Anne Miller, PA
• Heather Milton, LMSW
• Erica Minnoe, RN
• Penny Lou Minnoe, PRESIDENT
• Maria Claire Mintskovsky, PHARMD
• Mia Mitchell
• David Allen Mizro, PA
• Elizabeth Mizro, MS, ANP
• Kelley A Mizro
• Mobile Dermatology Care PLLC

• Endocrinology, Diabetes & Metabolism Physician in Auburn, NY
• Providers in Auburn, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.