DR. IMRAN HUMAYUN MIRZA (MD) – Hospitalist Physician, NPI 1558500587

DR. IMRAN HUMAYUN MIRZA (MD) is a healthcare provider. based in Port st lucie, Florida. specializing in FAMILY PRACTICE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. ME113910 (FL). The NPI Number for DR. IMRAN HUMAYUN MIRZA (MD) is 1558500587

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. IMRAN HUMAYUN MIRZA (MD)
NPI
1558500587
Phone
(772) 335-4000
Address
1800 SE Tiffany Ave
Enumeration Date
15 February 2009
Last Update Date
15 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8636761433
Graduation Year
2008 (18 years ago)
PAC ID
5890947600
Group Practice PAC ID
8426390964
Professional Enrollment ID
I20150126001852
Address ID
FL338534203LA410XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:17State licenses:4Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. IMRAN HUMAYUN MIRZA (MD)

  • 1800 SE Tiffany Ave

    Port St Lucie, FL 349527521

    Phone: (772) 335-4000

    Type: Location

  • 4521 PGA BLVD

    PMB 267

    PALM BEACH GARDENS, FL 33418

    Phone: (716) 601-9178

    Type: Mailing

  • 303 N CLYDE MORRIS BLVD

    DAYTONA BEACH, FL 321142700

    Phone: (386) 425-4000

    Type: Location

  • Preston Road, Dallas, Dallas County, Texas, 75248, United States

    DALLAS, TX 752525633

    Phone: (866) 931-8882

    Fax: (866) 406-8864

    Type: Mailing

  • Laredo Medical Center, 1700, East Saunders Street, Laredo, Webb County, Texas, 78041, United States

    LAREDO, TX 78041

    Phone: (956) 796-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-07-27 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-27

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: 2019-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20140211000581IFamily PracticeTXTBD
I20150126001852IFamily PracticeFLTBD
I20191007000628IFamily PracticeGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes436148$0
99238Hospital discharge day management, 30 minutes or less8886$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4747$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3131$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3117$0
View full utilization report →

Insurance plans in this area (ZIP 34952)

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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: 8426390964View full group profile
NameSpecialtyState
Nurse PractitionerFL
Internal MedicineNY
Nurse PractitionerVA
Internal MedicineOH
Internal MedicineFL
Internal MedicineFL
Hospitalist, Internal MedicineFL
Nurse PractitionerTX
Internal MedicineFL
Internal MedicineME

Reviews

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Frequently asked questions

Can I verify DR. IMRAN HUMAYUN MIRZA (MD) with an NPI only?
You can start verification with NPI 1558500587 for DR. IMRAN HUMAYUN MIRZA (MD), then check state licensing separately.
Can I rely on DR. IMRAN HUMAYUN MIRZA (MD) being an active provider?
As of the registry snapshot, DR. IMRAN HUMAYUN MIRZA (MD) is marked active.
What taxonomy line describes DR. IMRAN HUMAYUN MIRZA (MD)?
For research purposes, treat DR. IMRAN HUMAYUN MIRZA (MD) as Hospitalist Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. IMRAN HUMAYUN MIRZA (MD) based?
DR. IMRAN HUMAYUN MIRZA (MD) is tied to Port St Lucie, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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