Individual provider Active NPI

Mirza Sajid Amin, PA

  • Medical Physician Assistant
  • Delaware, OH
National Provider Identifier
1619780780
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
477 Hutchinson St
Delaware, OH 43015-4349
Phone
(614) 779-6697
NPI assigned
Jan 30, 2025
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

477 Hutchinson St
Delaware, OH 43015-4349

Mailing address

1430 Oak CT Ste 100
Beavercreek, OH 45430-1064
Phone (937) 404-1101

Other practice location 1

710 W Waterloo St
Canal Winchester, OH 43110-1092
Phone (614) 321-2581

Other practice location 2

6210 Brandt Pike Ste 102
Huber Heights, OH 45424-4019
Phone (937) 236-8630

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324002156 OH Practitioner - Physician Assistant 1951823509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

1016 Sugarbush Dr
Ashland, OH 44805-9489
Phone (419) 903-0404

12906 State Route 664 S
Suite A6
Logan, OH 43138-9262
Phone (740) 216-5028

175 Edgefield Blvd
Marion, OH 43302-7821
Phone (740) 751-6433

2180 Sean Dr
Suite 6B
Fremont, OH 43420-8579
Phone (419) 355-8343

6210 Brandt Pike
Suite 102
Huber Heights, OH 45424-4019
Phone (937) 236-8630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Specialists, LLC CurrentSince Feb 26, 2026 Accepting new patients
Incare Health Solutions LLC CurrentSince Mar 9, 2025 Accepting new patients

Locations

1430 Oak Ct
Ste 100
Beavercreek, OH 45430
Phone (937) 404-1101

710 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 321-2581

1085 Polaris Pkwy
Columbus, OH 43240
Phone (614) 505-0021

6210 Brandt Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 236-8630

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1619780780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 OAK CT STE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301064",
            "telephone_number": "937-404-1101",
            "fax_number": "937-404-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 HUTCHINSON ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154349",
            "telephone_number": "614-779-6697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 W Waterloo St",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431101092",
            "country_code": "US",
            "telephone_number": "614-321-2581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6210 Brandt Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454244019",
            "country_code": "US",
            "telephone_number": "937-236-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "MIRZA",
        "middle_name": "SAJID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-30",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.