NPIMap

Individual provider Active NPI

Irfan M Mirza, M.D.

  • Cardiovascular Disease Physician
  • Pahrump, NV
National Provider Identifier
1609832674
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
28306 Issued in AZ
Practice address
330 S Lola LN Ste 200
Pahrump, NV 89048-0879
Phone
(928) 768-2558
Fax
(928) 788-2039
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 28306 AZ
Cardiovascular Disease Physician 207RC0000X 28306 AZ Primary

Addresses

Primary practice location

330 S Lola LN Ste 200
Pahrump, NV 89048-0879

Mailing address

5653 S Highway 95
Fort Mohave, AZ 86426-6068
Phone (928) 768-2558

Other practice location 1

1526 Turquoise Rd
Bullhead City, AZ 86442-6092
Phone (928) 237-4418

Other practice location 2

3555 Western Ave
Kingman, AZ 86409-3291
Phone (928) 757-8440

Other practice location 3

3080 S Needles Hwy Ste 2200
Laughlin, NV 89029-0895
Phone (928) 237-4418

Other practice location 4

5653 S Highway 95
Fort Mohave, AZ 86426-6068
Phone (928) 768-2558

Other identifiers 1

IdentifierTypeStateIssuer
519332MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070915000273 NV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6305930785 Reassigns benefits to 1 organization
I20101105000305 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - EndocrinologyPractitioner - Interventional Radiology 6305930785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Endocrinology, Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vista Health Mirza MD PCGroup PAC ID 6800054792, 7 clinicians

Practice addresses (Care Compare)

1526 Turquoise Rd
Bullhead City, AZ 86442-6092
Phone (928) 768-2558

2340 E Calvada Blvd
Suite 3
Pahrump, NV 89048-5821
Phone (928) 237-4418

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Las Vegas, NV, CCN 297115
  • River Valley Home Health Home health agency, Lake Havasu, AZ, CCN 037402
  • Comfort Home Health Home health agency, Las Vegas, NV, CCN 297149
  • Desert View Hospital Hospital, Pahrump, NV, CCN 291311
  • Colorado River Medical Center Hospital, Needles, CA, CCN 051323
  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117
  • Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Merit-based Incentive Payment System (MIPS)

Final score
23.04 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62701CAMDGeneral Practice Dentistry
28306AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Molecular Pet Imaging LLC CurrentSince Jan 6, 2023 Accepting new patients
DVH Hospital Alliance LLC Past Accepting new patients
Overton Medical LLC Family Medicine Past Accepting new patients
Southwest Cardiovascular Associates Ahmed Alfafara and Prasad LTD PastSince Jun 1, 2011 Accepting new patients
Hosea E Brown MD Inc Past Accepting new patients

Locations

1648 Highway 95
Bullhead City, AZ 86442
Phone (928) 758-4114

5785 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 735-1400

Interoperability endpoints

  • Direct secure messaging: imirza2@yourcarecommunity.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBBICD

Organizations & group practices 6

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 10

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1609832674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5653 S HIGHWAY 95",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266068",
            "telephone_number": "928-768-2558",
            "fax_number": "928-768-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S LOLA LN STE 200",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890480879",
            "telephone_number": "928-768-2558",
            "fax_number": "928-788-2039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1526 Turquoise Rd",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864426092",
            "country_code": "US",
            "telephone_number": "928-237-4418",
            "fax_number": "928-788-2039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3555 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864093291",
            "country_code": "US",
            "telephone_number": "928-757-8440",
            "fax_number": "928-757-8448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3080 S Needles Hwy Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Laughlin",
            "state": "NV",
            "postal_code": "890290895",
            "country_code": "US",
            "telephone_number": "928-237-4418",
            "fax_number": "928-768-2874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5653 S Highway 95",
            "address_purpose": "LOCATION",
            "city": "Fort Mohave",
            "state": "AZ",
            "postal_code": "864266068",
            "country_code": "US",
            "telephone_number": "928-768-2558",
            "fax_number": "928-768-2874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "IRFAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "28306",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "28306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519332",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.