DR. WALEED MIRZA (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1700466810
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
Provider Addresses for DR. WALEED MIRZA (DPM)
9400 S CICERO AVE STE 100
OAK LAWN, IL 604532536
Phone: (708) 424-3201
Fax: (708) 424-5001
Type: Mailing
800 BIESTERFIELD RD STE 207
ELK GROVE VILLAGE, IL 600073378
Phone: (847) 228-6543
Fax: (847) 577-3587
Type: Location
621 PATRICK DR
LOMBARD, IL 601480010
Phone:
Type: Mailing
1950 W POLK ST
CHICAGO, IL 606123723
Phone: (312) 864-2245
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $2,959.
Total Amount is formed as General ($2,959) + Research ($0) + Ownership ($0) = $2,959.
Last reported payment date: 2024-12-15 • Largest payer in this snapshot: Medline Industries LP ($1,220).
Total Amount
$2,959
General + Research + Ownership
Payments
25
Total payment records
General Amount
$2,959
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medline Industries LP | $1,220 |
| Stryker Corporation | $1,052 |
| MedShape, Inc. | $252 |
| Integra LifeSciences Corporation | $167 |
| DePuy Synthes Sales Inc. | $111 |
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: 2024-08-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240802002300 | I | Podiatry | IL | TBD |
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.
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 60453)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IN | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | MI | |
| Internal Medicine | IL | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | IL | |
| Family Practice | IL |
Reviews
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