NPIMap

Individual provider Active NPI

Tariq Mirza, M.D.

  • Emergency Medicine Physician
  • Pikeville, KY
National Provider Identifier
1861435851
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
38098 Issued in KY
Practice address
119 Coal Hollow Road
Pikeville, KY 41501
Phone
(606) 432-9216
NPI assigned
Jun 14, 2006
Last updated
Aug 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 38098 KY Primary

Addresses

Primary practice location

119 Coal Hollow Road
Pikeville, KY 41501

Mailing address

119 Coal Hollow Road
Pikeville, KY 41501

Other identifiers 1

IdentifierTypeStateIssuer
64061765MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000973 KY Practitioner - Emergency MedicinePractitioner - Internal Medicine 5193621340 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockcastle Emergency Group, LLCGroup PAC ID 3971923814, 15 clinicians

Practice addresses (Care Compare)

145 Newcomb Ave
Mount Vernon, KY 40456-2728
Phone (606) 256-2195

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.14

Merit-based Incentive Payment System (MIPS)

Final score
93.56 of 100Reported as group
Quality
88.12
Improvement activities
40
Cost
77.69

Merit-based Incentive Payment System (MIPS)

Final score
96.15 of 100Reported as group
Quality
82.35
Improvement activities
40
Cost
83.51

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
83.59
Improvement activities
40
Cost
90.93

Merit-based Incentive Payment System (MIPS)

Final score
95.47 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
76.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yatesville Emergency Group, LLC Emergency Medicine CurrentSince Apr 19, 2020 Accepting new patients
Rockcastle Emergency Group, LLC Emergency Medicine CurrentSince Oct 15, 2020 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Feb 13, 2014 Accepting new patients
Hyden Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 15, 2013 Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Apr 1, 2003 Accepting new patients
Pine Mountain Emergency Group Limited Liability Company Emergency Medicine CurrentSince Dec 23, 2019 Accepting new patients
Combs Mountain Emergency Group, LLC Emergency Medicine CurrentSince Apr 15, 2020 Accepting new patients
Beaver Creek Emergency Group LLC Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 10, 2025 Accepting new patients
Williamson Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2007 Accepting new patients
Floyd Emergency Group, LLC Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Middlesborough Emergency Physicians LLC Emergency Medicine CurrentSince Dec 30, 2012 Accepting new patients
National Emergency Services West Virginia Inc Emergency Medicine Past Accepting new patients
Jackson Hospital Corporation Emergency Medicine Past Accepting new patients

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

2485 Highway 644
Louisa, KY 41230
Phone (606) 638-1154

11203 Main St
Martin, KY 41649
Phone (606) 285-5181

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

625 James Trimble Blvd
Paintsville, KY 41240

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

260 Hospital Dr
Ste 1
South Williamson, KY 41503
Phone (606) 237-1700

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

Interoperability endpoints

  • Direct secure messaging: mirzat@yourcarecommunity.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 11

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1861435851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 COAL HOLLOW ROAD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 COAL HOLLOW ROAD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501",
            "telephone_number": "606-432-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "TARIQ",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "38098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64061765",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.