NPIMap

Individual provider Active NPI

Mirza T Hamirani, M.D.

  • Nephrology Physician
  • Vienna, WV
National Provider Identifier
1861460099
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20965 Issued in WV
Practice address
800 Grand Central Mall
Suite #9
Vienna, WV 26105-4100
Phone
(304) 834-3970
Fax
(304) 916-1871
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 20965 WV Primary
Nephrology Physician 207RN0300X 35-08-1948-H OH

Addresses

Primary practice location

800 Grand Central Mall
Suite #9
Vienna, WV 26105-4100

Mailing address

800 Grand Central Mall
Suite #9
Vienna, WV 26105-4100
Phone (304) 834-3970

Other identifiers 3

IdentifierTypeStateIssuer
110247849OtherRAILROAD MEDICARE
2004024-000MedicaidWV
2386403MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080411000444 OH Practitioner - Nephrology 5395763510 Reassigns benefits to 1 organization
I20080411000484 WV Practitioner - Nephrology 5395763510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Ohio Valley Nephrology AssociationGroup PAC ID 8224056445, 2 clinicians

Practice addresses (Care Compare)

425 Matthew St
Marietta, OH 45750-1635
Phone (304) 834-3970

800 Grand Central Mall
Suite 9
Vienna, WV 26105-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.67 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20965WVMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mirza Hamirani Nephrology CurrentSince Jan 1, 1990 Accepting new patients
Camden-Clark Physician Corporation Past Accepting new patients

Locations

600 18th St
Ste 412
Parkersburg, WV 26101
Phone (304) 424-4777

Interoperability endpoints

  • Direct secure messaging: mirza.hamirani@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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 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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1861460099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL",
            "address_2": "SUITE #9",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-834-3970",
            "fax_number": "304-916-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL",
            "address_2": "SUITE #9",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-834-3970",
            "fax_number": "304-916-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIRANI",
        "first_name": "MIRZA",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "20965",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35-08-1948-H",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110247849",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004024-000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2386403",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

Verify at the official NPI Registry.