Individual provider Active NPI

Jamshid Mirzaei, MD

  • Hospitalist Physician
  • Globe, AZ
National Provider Identifier
1649306523
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0049409 Issued in CO
Practice address
5880 S Hospital Dr
Globe, AZ 85501-9447
Phone
(303) 999-8179
Fax
(702) 453-5741
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0049409 CO
Hospitalist Physician 208M00000X MD60036851 WA
Hospitalist Physician 208M00000X DR.0049409 CO Primary

Addresses

Primary practice location

5880 S Hospital Dr
Globe, AZ 85501-9447

Mailing address

PO Box 202378
Denver, CO 80220-8378
Phone (303) 999-8179

Other practice location 1

1221 Highland Ave
Clarkston, WA 99403-2829
Phone (303) 999-8179

Other practice location 2

15630 18th Ave
Clearlake, CA 95422-9336
Phone (303) 999-8179

Other practice location 3

520 N 4th Ave
Pasco, WA 99301-5257
Phone (303) 999-8179

Other identifiers 2

IdentifierTypeStateIssuer
00201057MedicaidCO
P01378874OtherCORAIL ROAD MEDICARE

Other names 1

  • Jamshid Mirzaei Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WA, HI, CA, AZ5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20110413000751 CO Practitioner - Internal Medicine 6002964178 Reassigns benefits to 4 organizations
I20120522000711 WA Practitioner - Internal Medicine 6002964178 Reassigns benefits to 1 organization
I20150928000734 HI Practitioner - Internal Medicine 6002964178 Reassigns benefits to 1 organization
I20171013002471 CA Practitioner - Internal Medicine 6002964178 Reassigns benefits to 2 organizations
I20201028002624 AZ Practitioner - Internal Medicine 6002964178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians
Hospital Medicine Services of Colorado, LLCGroup PAC ID 9133631351, 73 clinicians

Practice addresses (Care Compare)

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 873-3000

501 E Hamden Ave
Englewood, CO 80113-2702
Phone (303) 788-5000

520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 547-7704

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 402-1175

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of Colorado, LLC Hospitalist CurrentSince Jun 1, 2025 Accepting new patients
Inpatient Services, PC Internal Medicine CurrentSince Mar 11, 2022 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince Jun 10, 2023 Accepting new patients
Sound Physicians of Hawaii Inc Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Tucson Physician Group Holdings, LLC Internal Medicine CurrentSince Jan 18, 2025 Accepting new patients
Arkansas Valley Regional Medical Center CurrentSince Jun 1, 2025 Accepting new patients
HCA Healthone LLC Past Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients
Longs Peak Emergency Physicians, PC Past Accepting new patients
HCA Healthone LLC Past Accepting new patients
Boulder Emergency Physicians PC Past Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
Lourdes Hospital LLC Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1649306523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202378",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802208378",
            "telephone_number": "303-999-8179",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 S HOSPITAL DR",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019447",
            "telephone_number": "303-999-8179",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "WA",
            "postal_code": "994032829",
            "country_code": "US",
            "telephone_number": "303-999-8179",
            "fax_number": "702-453-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15630 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Clearlake",
            "state": "CA",
            "postal_code": "954229336",
            "country_code": "US",
            "telephone_number": "303-999-8179",
            "fax_number": "702-453-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 N 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993015257",
            "country_code": "US",
            "telephone_number": "303-999-8179",
            "fax_number": "702-453-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZAEI",
        "first_name": "JAMSHID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0049409",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60036851",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0049409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00201057",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01378874",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMSHID",
            "last_name": "MIRZAEI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Globe, AZ

Sources for this page

Verify at the official NPI Registry.