DR. ATIQUE AZAM MIRZA (MD) – Cardiovascular Disease Physician, NPI 1497701072

DR. ATIQUE AZAM MIRZA (MD) is a healthcare provider. based in Hartford, Connecticut. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 041416 (CT). The NPI Number for DR. ATIQUE AZAM MIRZA (MD) is 1497701072

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ATIQUE AZAM MIRZA (MD)
NPI
1497701072
Phone
(860) 525-4005
Address
19 WOODLAND ST
Enumeration Date
26 May 2006
Last Update Date
7 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607144000
Graduation Year
1990 (36 years ago)
PAC ID
9133178601
Group Practice PAC ID
0941113567
Professional Enrollment ID
I20050121000696
Address ID
CT061051208HA114XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

669 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CT

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Provider Addresses for DR. ATIQUE AZAM MIRZA (MD)

  • 19, Woodland Street, Parkville, Hartford, Hartford County, Connecticut, 06105, United States

    SUITE# 47

    HARTFORD, CT 061052372

    Phone: (860) 525-4005

    Fax: (860) 525-4839

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $23,348.

Total Amount is formed as General ($23,348) + Research ($0) + Ownership ($0) = $23,348.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Novo Nordisk Inc ($22,982).

Total Amount

$23,348

General + Research + Ownership

Payments

19

Total payment records

General Amount

$23,348

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050121000696ICardiovascular Disease (Cardiology)CTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes464287$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report409289$0
J2785Injection, regadenoson, 0.1 mg13634$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function111111$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9176$0
View full utilization report →

Insurance plans in this area (ZIP 06105)

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Provider's Procedures

DR. ATIQUE AZAM MIRZA (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CT78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies7979
CARDIOVASCULAR DISEASE (CARDIOLOGY)CT93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report546454

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941113567View full group profile
NameSpecialtyState
-GA
Cardiovascular Disease (Cardiology)CT
-CT
Emergency MedicineRI
-GA
Physician AssistantCT
G A S T R O E N T E R O L O G YCT
Cardiovascular Disease (Cardiology)CT
Physician AssistantCT
General Surgery, Surgical OncologyCT

Reviews

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Frequently asked questions

Can I cross-check DR. ATIQUE AZAM MIRZA (MD) using NPI 1497701072?
NPI 1497701072 belongs to DR. ATIQUE AZAM MIRZA (MD); compare other details if you need extra assurance.
Would DR. ATIQUE AZAM MIRZA (MD) appear as active to a payer?
You can treat DR. ATIQUE AZAM MIRZA (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. ATIQUE AZAM MIRZA (MD)?
DR. ATIQUE AZAM MIRZA (MD)'s specialty line reads Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is DR. ATIQUE AZAM MIRZA (MD) associated with Hartford?
Public fields place DR. ATIQUE AZAM MIRZA (MD) around Hartford, Connecticut. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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