Individual provider Active NPI

Imran Mirza, MD

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1679599922
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35471 Issued in TN
Practice address
2900 Kirby Rd Ste 5
Memphis, TN 38119-8205
Phone
(901) 369-6000
Fax
(901) 369-6001
NPI assigned
Jul 13, 2006
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD35471 TN
Internal Medicine Physician 207R00000X 35471 TN Primary

Addresses

Primary practice location

2900 Kirby Rd Ste 5
Memphis, TN 38119-8205

Mailing address

7865 Educators Lane,
Suite 300
Memphis, TN 38133-8191
Phone (901) 384-9920

Other practice location 1

7865 Educators Ln Ste 110
Memphis, TN 38133-8191
Phone (901) 384-9920

Other practice location 2

3960 Knight Arnold Rd Ste 108
Memphis, TN 38118-3001
Phone (901) 369-6000

Other identifiers 3

IdentifierTypeStateIssuer
02089052MedicaidMS
3869544MedicaidTN
4044284OtherTNBCBS OF TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20100812000620 TN Practitioner - Internal Medicine 7416081419 Reassigns benefits to 2 organizations
Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Multi Specialty Associates,LLCGroup PAC ID 5395052443, 4 clinicians

Practice addresses (Care Compare)

3960 Knight Arnold Rd
Suite 108
Memphis, TN 38118-3001
Phone (901) 369-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD35471TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Multi Specialty Associates,LLC Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Deepika R Pulusani, MD, PC Past Accepting new patients
Memphis Primary Care Specialists PastSince Oct 26, 2013 Accepting new patients
Memphis Primary Care Specialists PastSince Oct 26, 2013 Accepting new patients

Locations

2900 Kirby Rd
Ste 5
Memphis, TN 38119
Phone (901) 309-8898

3960 Knight Arnold Rd
Ste 102
Memphis, TN 38118
Phone (646) 712-2751

3960 Knight Arnold Rd
Ste 108
Memphis, TN 38118
Phone (901) 369-6000

7865 Educators Ln
Ste 110
Memphis, TN 38133
Phone (901) 384-9920

7865 Educators Ln
Ste 300
Memphis, TN 38133
Phone (901) 384-9920

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: imirza@yourcarecommunity.org
  • Direct secure messaging: imran.mirza.p1@direct.luncefordfamily.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1679599922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 EDUCATORS LANE,",
            "address_2": "SUITE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338191",
            "telephone_number": "901-384-9920",
            "fax_number": "901-937-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 KIRBY RD STE 5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198205",
            "telephone_number": "901-369-6000",
            "fax_number": "901-369-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7865 Educators Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381338191",
            "country_code": "US",
            "telephone_number": "901-384-9920",
            "fax_number": "901-937-7879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3960 Knight Arnold Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381183001",
            "country_code": "US",
            "telephone_number": "901-369-6000",
            "fax_number": "901-369-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "IMRAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD35471",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "35471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02089052",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3869544",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4044284",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.