DR. MOHID MIRZA – Nephrology Physician, NPI 1124587936

DR. MOHID MIRZA is a healthcare provider. based in Largo, Florida. specializing in NEPHROLOGY. They hold a License No. 99072 (GA). The NPI Number for DR. MOHID MIRZA is 1124587936

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHID MIRZA
NPI
1124587936
Phone
(717) 588-5200
Address
201 14TH ST SW
Enumeration Date
19 March 2019
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
7704277389
Graduation Year
2019 (7 years ago)
PAC ID
0446630677
Group Practice PAC ID
1951399799
Professional Enrollment ID
I20240830000447
Address ID
GA300601171MA55XXXSTXX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

796 NEPHROLOGY in FL

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Provider Addresses for DR. MOHID MIRZA

  • 201, 14th Street Southwest, Largo, Pinellas County, Florida, 33770, United States

    LARGO, FL 337703133

    Phone: (717) 588-5200

    Type: Location

  • 55 WHITCHER ST NE STE 460

    MARIETTA, GA 300601171

    Phone: (770) 427-7389

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $329.

Total Amount is formed as General ($329) + Research ($0) + Ownership ($0) = $329.

Last reported payment date: 2024-06-17 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($210).

Total Amount

$329

General + Research + Ownership

Payments

3

Total payment records

General Amount

$329

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-17

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: 2024-08-30

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
I20240830000447INephrologyGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33770)

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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: 1951399799View full group profile
NameSpecialtyState
Internal MedicineIL
Nephrology, Internal MedicineGA
Internal Medicine, NephrologyGA
Internal MedicineGA
Internal Medicine, NephrologyGA
Nephrology, Internal MedicineCA
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
-GA

Reviews

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Frequently asked questions

What federal number belongs to DR. MOHID MIRZA?
The federal identifier for DR. MOHID MIRZA is NPI 1124587936.
Does this profile mean DR. MOHID MIRZA is currently active?
Yes — DR. MOHID MIRZA appears active in the national provider directory.
What kind of provider is DR. MOHID MIRZA?
The page reflects Nephrology Physician for DR. MOHID MIRZA. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MOHID MIRZA?
The snapshot lists Largo, Florida for DR. MOHID MIRZA; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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