Individual provider Active NPI

Saad Mirza, MD

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1922093848
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0067340 Issued in FL
Practice address
2297 N University Dr
Pembroke Pines, FL 33024-3611
Phone
(954) 322-0600
Fax
(954) 322-0931
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0067340 FL Primary

Addresses

Primary practice location

2297 N University Dr
Pembroke Pines, FL 33024-3611

Mailing address

2297 N University Dr
Pembroke Pines, FL 33024-3611
Phone (954) 322-0600

Other identifiers 1

IdentifierTypeStateIssuer
250456100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040429001481 FL Practitioner - Internal Medicine 3274520374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oakland College of Medicine and Surgery, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthstone Primary Care Partners LLCGroup PAC ID 7416230693, 12 clinicians

Practice addresses (Care Compare)

2297 N University Dr
Pembroke Pines, FL 33024-3611
Phone (954) 322-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0067340FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saad Mirza MD PA Internal Medicine CurrentSince Aug 10, 2004 Accepting new patients
Healthstone Primary Care Partners LLC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Wayne N Evancho DO PA PastSince Jun 20, 2016 Accepting new patients

Locations

1835 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (800) 957-8288

3700 Washington St
Ste 404
Hollywood, FL 33021
Phone (954) 963-0888

1380 NE Miami Gardens Dr
Ste 285
North Miami Beach, FL 33179
Phone (304) 944-8777

2297 N University Dr
Pembroke Pines, FL 33024
Phone (954) 322-0600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJFCD

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

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1922093848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2297 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243611",
            "telephone_number": "954-322-0600",
            "fax_number": "954-322-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2297 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243611",
            "telephone_number": "954-322-0600",
            "fax_number": "954-322-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "SAAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0067340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250456100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.