Organization Active NPI

Shahzaib Mirza MD Medical Partners PA

Doing business as Starz Pediatrics

  • Pediatrics Physician
  • Estero, FL
National Provider Identifier
1649949447
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Dr. Shahzaib Mirza, MDNPI 1225467467
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1225467467MedicaidFL
1649949447MedicaidFL

Other names 1

  • Starz Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2246154Shahzaib Mirza MD Medical Partners, PA19910 S Tamiami Trail - Ste C, Estero, FL 33928Certificate of waiverDec 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.