Active NPI
Shahzaib Mirza MD Medical Partners PA
Doing business as Starz Pediatrics
- Pediatrics Physician
- Estero, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SHAHZAIB MIRZA MD MEDICAL PARTNERS PA
- Doing business as
- Starz Pediatrics
- Practice address
- 19910 S Tamiami TRL Ste C
Estero, FL 33928-4140 - Phone
- (929) 228-9657
- NPI assigned
- Sep 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shahzaib Mirza, MD
- Title
- Ceo/MD
- Phone
- (929) 228-9657
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
19910 S Tamiami TRL Ste C
Estero, FL 33928-4140
Mailing address
2104 W First St Apt 2704
Fort Myers, FL 33901-3274
Phone (929) 228-9657
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225467467 | Medicaid | FL | |
| 1649949447 | Medicaid | FL |
Other names 1
- Starz Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2246154 | Shahzaib Mirza MD Medical Partners, PA | Certificate of waiver | Dec 20, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Port Charlotte, FL
- NPI 1225467467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1649949447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 W FIRST ST APT 2704",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339013274",
"telephone_number": "929-228-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19910 S TAMIAMI TRL STE C",
"city": "ESTERO",
"state": "FL",
"postal_code": "339284140",
"telephone_number": "929-228-9657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAHZAIB MIRZA MD MEDICAL PARTNERS PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-07",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "MIRZA",
"authorized_official_first_name": "SHAHZAIB",
"authorized_official_title_or_position": "CEO/MD",
"authorized_official_telephone_number": "929-228-9657",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225467467",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649949447",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Starz Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.