NPIMap

Individual provider Active NPI

Haris Inam Mirza, MD

  • Infectious Disease Physician
  • Ocala, FL
National Provider Identifier
1912956335
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME88195 Issued in FL
Practice address
2651 SW 32ND PL
Ocala, FL 34471
Phone
(352) 401-7552
Fax
(352) 622-7945
NPI assigned
May 10, 2006
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME88195 FL Primary

Addresses

Primary practice location

2651 SW 32ND PL
Ocala, FL 34471

Mailing address

2651 SW 32ND PL
Ocala, FL 34471
Phone (352) 401-7552

Other identifiers 3

IdentifierTypeStateIssuer
81078YOtherFLMEDICARE PTAN
81078OtherFLBC/BS
267672900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051121000473 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 5597784553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ocala Infectious Disease and Wound Center, IncGroup PAC ID 9234158296, 7 clinicians

Practice addresses (Care Compare)

2651 SW 32ND PL
Ocala, FL 34471-7848
Phone (352) 401-7552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.21 of 100Reported as group
Quality
89.3
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1959
Removal of nail tissue12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88195FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J. Brill MD PA CurrentSince Jul 5, 2006 Accepting new patients
Ocala Infectious Disease and Wound Center, Inc Infectious Disease CurrentSince Oct 1, 2005 Accepting new patients

Locations

2651 SW 32nd Pl
Ocala, FL 34471
Phone (352) 401-7552

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: haris.mirza.1@19367.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19367/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mirza@oid.gwaydirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1912956335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 SW 32ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-401-7552",
            "fax_number": "352-622-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 SW 32ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-401-7552",
            "fax_number": "352-622-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "HARIS",
        "middle_name": "INAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME88195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "81078Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "81078",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267672900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.