Individual provider Active NPI

Jibran Mohd Mirza, M.D.

  • Cardiovascular Disease Physician
  • Cheektowaga, NY
National Provider Identifier
1699331736
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
334574 Issued in NY
Practice address
3091 William St
Cheektowaga, NY 14227-1919
Phone
(716) 822-3098
NPI assigned
May 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 334574 NY Primary

Addresses

Primary practice location

3091 William St
Cheektowaga, NY 14227-1919

Mailing address

144 Genesee St FL 3
Buffalo, NY 14203-1560

Other practice location 1

1616 Kensington Ave
Buffalo, NY 14215-1433
Phone (716) 834-3278

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250910003903 NY Practitioner - Cardiovascular Disease (Cardiology) 9335477793 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sisters of Charity Hospital of Buffalo New YorkGroup PAC ID 6204749153, 160 clinicians
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians
Mercy Hospital of BuffaloGroup PAC ID 8729991666, 198 clinicians

Practice addresses (Care Compare)

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 862-1000

3091 William St
Cheektowaga, NY 14227-1919
Phone (716) 822-3098

3669 Southwestern Blvd
Orchard Park, NY 14127-1732
Phone (716) 662-0500

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000

Hospital & facility affiliations

  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Sep 1, 2025 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Sep 1, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Trinity Medical Wny PC Cardiovascular Disease Current Accepting new patients
Mercy Hospital of Buffalo CurrentSince Sep 1, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Sep 1, 2025 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Sep 1, 2025 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Sep 1, 2025 Accepting new patients
Kenmore Mercy Hospital CurrentSince Sep 1, 2025 Accepting new patients
Trinity Medical Wny PC CurrentSince Sep 1, 2025 Accepting new patients
Kenmore Mercy Hospital Current Accepting new patients

Locations

1616 Kensington Ave
Buffalo, NY 14215
Phone (716) 834-3278

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

3091 William St
Cheektowaga, NY 14227
Phone (716) 822-3098

6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400

5875 S Transit Rd
Lockport, NY 14094
Phone (716) 433-7730

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1699331736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 GENESEE ST FL 3",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 WILLIAM ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271919",
            "telephone_number": "716-822-3098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 Kensington Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142151433",
            "country_code": "US",
            "telephone_number": "716-834-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "JIBRAN",
        "middle_name": "MOHD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "334574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.