MOHAMMAD REZA MIZANI (M.D.) – Nephrology Physician, NPI 1497757660

MOHAMMAD REZA MIZANI (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. L2477 (TX). The NPI Number for MOHAMMAD REZA MIZANI (M.D.) is 1497757660

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMMAD REZA MIZANI (M.D.)
NPI
1497757660
Phone
(210) 212-8622
Address
PO BOX 504152
Enumeration Date
1 June 2005
Last Update Date
22 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2102128622
Graduation Year
1996 (30 years ago)
PAC ID
6002880499
Group Practice PAC ID
5294709689
Professional Enrollment ID
I20040825000317
Address ID
TX782073164SA215XXSABA401
Telehealth
Yes

Contacts

Secure Messaging
reza.mizani@strcg.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

1,168 NEPHROLOGY in TX

Provider Addresses for MOHAMMAD REZA MIZANI (M.D.)

  • PO BOX 504152

    SAINT LOUIS, MO 631504152

    Phone: (210) 212-8622

    Fax: (210) 212-9197

    Type: Mailing

  • PO BOX 650002 DEPT 8286

    DALLAS, TX 752650002

    Phone: (210) 212-8622

    Fax: (210) 212-9197

    Type: Mailing

  • 215 N SAN SABA STE 301

    SAN ANTONIO, TX 782078101

    Phone: (210) 212-8622

    Fax: (210) 212-9197

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 252 Open Payments records for all available years, with a total value of $5,520.

Total Amount is formed as General ($5,520) + Research ($0) + Ownership ($0) = $5,520.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($787).

Total Amount

$5,520

General + Research + Ownership

Payments

252

Total payment records

General Amount

$5,520

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2004-08-25

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
I20040825000317INephrologyTXTBD

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 minutes379124$0
90966Home dialysis services per month (20 years or older)8422$0
View full utilization report →

Insurance plans in this area (ZIP 63150)

Loading plans...

Provider's Procedures

MOHAMMAD REZA MIZANI (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYTX90966Home dialysis services per month, patient 20 years of age or older7913

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: 5294709689View full group profile
NameSpecialtyState
Nephrology, Internal MedicineMO
Physician AssistantTX
Nephrology, Internal MedicineTX
Nurse PractitionerFL
Nephrology, Internal MedicineMO
Nephrology, Internal MedicineTX
N E P H R O L O G YTX
Nephrology, Internal MedicineTX
Nurse PractitionerTX
Internal Medicine, NephrologyTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for MOHAMMAD REZA MIZANI (M.D.)?
Save NPI 1497757660 if you need a stable reference for MOHAMMAD REZA MIZANI (M.D.).
Does this profile mean MOHAMMAD REZA MIZANI (M.D.) is currently active?
Yes — MOHAMMAD REZA MIZANI (M.D.) appears active in the national provider directory.
Can you summarize MOHAMMAD REZA MIZANI (M.D.)'s specialty in plain language?
Clinically, the directory lists MOHAMMAD REZA MIZANI (M.D.) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where is MOHAMMAD REZA MIZANI (M.D.)'s primary listing?
We display Saint Louis, Missouri because that is what the record indicates for MOHAMMAD REZA MIZANI (M.D.).
Is MOHAMMAD REZA MIZANI (M.D.) a real provider?
This page reflects official NPPES data for NPI 1497757660. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

DR. VARSHASB BROUMAND (M.D.)

Nephrology Physician
215 N SAN SABA STE 201
NPI: 1154329720

DR. GRAEME MINDEL (M.D.)

Nephrology Physician
North Forty Drive, Town and Country, Saint Louis County, Missouri, 63131, United States
NPI: 1932196854

DR. KIRA S MAILEY (M.D.)

Nephrology Physician
18 CHAPEL HILL EST
NPI: 1457348286

SHABNAM DARBARI (MD)

Nephrology Physician
McCarran International Airport, 5757, Wayne Newton Boulevard, Enterprise, Clark County, Nevada, 89154, United States
NPI: 1225026016

DR. HUMAYUN QUADIR (M.D.)

Nephrology Physician
10004 KENNERLY RD STE 361B
NPI: 1265413223
Parkview Place, WashU, City of Saint Louis, Missouri, 63110, United States
NPI: 1770567414

NAUSHAD ZAFAR (M.D.)

Nephrology Physician
205 22nd St
NPI: 1396729083

STEVEN G. ROSENBLATT (M.D.)

Nephrology Physician
205 22nd St
NPI: 1710962279