Individual provider Active NPI

Mirza Baig, M.D.

  • Dermatology Physician
  • Des Moines, IA
National Provider Identifier
1750332284
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34037 Issued in IA
Practice address
3520 Beaver Ave
Suite G
Des Moines, IA 50310-3264
Phone
(515) 277-3455
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34037 IA Primary

Addresses

Primary practice location

3520 Beaver Ave
Suite G
Des Moines, IA 50310-3264

Mailing address

PO Box 22112
Clive, IA 50325-9402
Phone (515) 210-2806

Other identifiers 1

IdentifierTypeStateIssuer
1418400MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120110000256 IA Practitioner - PathologyPractitioner - Dermatology 3779552088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

312 A Ave E
Oskaloosa, IA 52577-2818
Phone (641) 672-0123

3250 Beaver Ave
Suite A1
Des Moines, IA 50310-3206
Phone (515) 277-3455

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions298
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34037IAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Skin Clinic Dermatology CurrentSince Jun 1, 2003 Accepting new patients
First Resources Corp Past Accepting new patients

Locations

3520 Beaver Ave
Ste G
Des Moines, IA 50310
Phone (515) 277-3455

3520 Beaver Ave
Ste A1
Des Moines, IA 50310

312 A Ave E
Oskaloosa, IA 52577
Phone (515) 314-8661

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1750332284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22112",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503259402",
            "telephone_number": "515-210-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 BEAVER AVE",
            "address_2": "SUITE G",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103264",
            "telephone_number": "515-277-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIG",
        "first_name": "MIRZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "34037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1418400",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.