Imran Humayun Mirza, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

ME113910 Issued in FL

Practice address

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2700

Phone

(386) 425-4000

NPI assigned

Feb 15, 2009

Last updated

Jan 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, FL, GA3 enrollments

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 3

Specialty

Family PracticeAlso: Hospitalist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Lake Wales Physician Services, LLCGroup PAC ID 8426390964, 24 clinicians

Accountable Care Hospitalist GroupGroup PAC ID 3678733342, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
• HCA Florida Highlands Hospital Hospital, Sebring, FL, CCN 100049
• HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
• Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099
• HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 34)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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 Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857
  Medicare reassignment Care Compare group NPD
• Lake Wales Physician Services, LLC

  • Hospitalist Physician
  • Lake Wales, FL
  • NPI 1164902797
  Medicare reassignment Care Compare group NPD
• Accountable Care Hospitalist Group

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1659640282
  Medicare reassignment Care Compare group
• Adventist Health System-Sunbelt Inc

  dba AdventHealth Cancer Institute Sebring

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594
  Medicare reassignment NPD
• Adventist Health System-Sunbelt Inc

  dba AdventHealth Medical Group Cardiology & Vascular Medicine at Wauchula

  • Family Medicine Physician
  • Wauchula, FL
  • NPI 1578725941
  Medicare reassignment NPD
• Cogent Healthcare of Jacksonville, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1124252333

  Family Medicine

  Medicare reassignment NPD
• Coral Springs Physician Services, LLC

  • Hospitalist Physician
  • Coral Springs, FL
  • NPI 1134673767
  Medicare reassignment NPD
• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment NPD
• Fort Lauderdale Physician Services, LLC

  • Hospitalist Physician
  • Fort Lauderdale, FL
  • NPI 1497209027
  Medicare reassignment NPD
• Halifax Healthcare Systems Inc

  dba HHCSI Halifax Family Health Center

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530
  Medicare reassignment NPD
• Hospital Physician Services of Florida PA

  • Hospitalist Physician
  • Pensacola, FL
  • NPI 1558718635

  Family Medicine

  Medicare reassignment NPD
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597

  Hospitalist

  Medicare reassignment NPD

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

• Adventhealth Polk South Inc

  dba AdventHealth Lake Wales

  • General Acute Care Hospital
  • Lake Wales, FL
  • NPI 1053972760
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  dba HCA Florida St. Lucie Hospital

  • General Acute Care Hospital
  • Port St Lucie, FL
  • NPI 1538115696
  Care Compare affiliation
• Lawnwood Medical Center Inc

  dba HCA Florida Lawnwood Hospital

  • General Acute Care Hospital
  • Fort Pierce, FL
  • NPI 1568409647
  Care Compare affiliation
• Northwest Medical Center Inc

  dba HCA Florida Northwest Hospital

  • General Acute Care Hospital
  • Margate, FL
  • NPI 1063466563
  Care Compare affiliation
• Sebring Health Services, LLC

  dba HCA Florida Highlands Hospital

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1598282246
  Care Compare affiliation

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

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1558500587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 PGA BLVD",
            "address_2": "PMB 267",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33418",
            "telephone_number": "716-601-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142700",
            "telephone_number": "386-425-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 SE Tiffany Ave",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349527521",
            "country_code": "US",
            "telephone_number": "772-335-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "IMRAN",
        "middle_name": "HUMAYUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME113910",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "79899",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P8055",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01071271A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME113910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammadreza Minouei, MD
• Terri Michele Minwer, ARNP
• Isabela Miradici, PA
• Elton Gene Miranda, APRN
• Kristina Michelle Miranda
• Chiffon Mitchell
• Emanie Mitchell
• Karen Mitchell, MSW
• Samantha Mitchell
• Marina A. Mitry-Hana, DPT, OTR/L

• Hospitalist Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.