Mohammed Ather Mirza, MD

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

117684 Issued in NY

Practice address

290 E Main St Ste 200
Smithtown, NY 11787-2916

Phone

(631) 361-5302

Fax

(631) 361-8607

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Orthopedic Surgery

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M. Ather Mirza PCGroup PAC ID 6002993102, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• M Ather Mirza PC

  • Orthopaedic Surgery Physician
  • Smithtown, NY
  • NPI 1063684744

  Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• North Shore Surgi-Center Inc

  • Ambulatory Surgical Clinic/Center
  • Smithtown, NY
  • NPI 1841213923
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1619904240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E MAIN ST STE 200",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872916",
            "telephone_number": "631-361-5302",
            "fax_number": "631-361-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E MAIN ST STE 200",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872916",
            "telephone_number": "631-361-5302",
            "fax_number": "631-361-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "MOHAMMED",
        "middle_name": "ATHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "117684",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NY",
            "license": "117684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "DR7510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherine Mina, OT
• Maria J Mineo, MD
• Yuliya Miras, MD
• Marilena Mirica, MD
• Mirza Orthopedics PC
• Mitchell N Shapiro DDS PC
• Robin Mitrani, MA FAAA
• Sean Mittelmann, OTR/L
• Ashley Dora Modica, M.D.
• Niti Praveen Mohan, PA

• Orthopaedic Hand Surgery Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Orthopaedic Hand Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.