Active NPI
Zeyn T. Mirza
- Gastroenterology Physician
- Newark, OH
National Provider Identifier
1578095717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35.148279
- Practice address
- 1717 West Main St Ste 203
Newark, OH 43055-5343 - Phone
- (220) 564-2950
- Fax
- (220) 564-2951
- NPI assigned
- Mar 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21732 | PR | |
| Gastroenterology Physician | 207RG0100X | 35.148279 | OH | Primary |
Addresses
Primary practice location
1717 West Main St Ste 203
Newark, OH 43055-5343
Mailing address
1717 West Main St Ste 203
Newark, OH 43055-5343
Phone (220) 564-2950
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | zmirza34453@lickingmemorial.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1717 W Main St
Suite 203
Newark, OH 43055-1362
Phone (220) 564-2950
Hospital & facility affiliations
- Licking Memorial Hospital
- Genesis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.98 of 100
- Quality
- 75.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 59 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 63 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21732 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Licking Memorial Professional Corporation | Current | Accepting new patients | |
| Licking Memorial Health Professionals | Current | Accepting new patients | |
| Licking Memorial Professional Corp. | Past | Accepting new patients | |
| Licking Memorial Professional Corp. | Past | Accepting new patients |
Locations
1320 W Main St
Newark, OH 43055
Phone (740) 348-4151
1717 W Main St
Apt 203
Newark, OH 43055
Phone (220) 564-2950
120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Newark, OH
- NPI 1326072265
-
- Durable Medical Equipment & Medical Supplies
- Newark, OH
- NPI 1326436510
-
- Surgery Physician
- Newark, OH
- NPI 1366461386
-
- Pediatrics Physician
- Utica, OH
- NPI 1497771521
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1578095717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 WEST MAIN ST STE 203",
"city": "NEWARK",
"state": "OH",
"postal_code": "430555343",
"telephone_number": "220-564-2950",
"fax_number": "220-564-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 WEST MAIN ST STE 203",
"city": "NEWARK",
"state": "OH",
"postal_code": "430555343",
"telephone_number": "220-564-2950",
"fax_number": "220-564-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRZA",
"first_name": "ZEYN",
"middle_name": "T.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-28",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "21732",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35.148279",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "zmirza34453@lickingmemorial.medicity.net",
"affiliation": "N",
"address_1": "1717 West Main St Ste 203",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430555343",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.