MOHAMMED AZHER MIRZA (MD) – Psychiatry Physician, NPI 1710067822

MOHAMMED AZHER MIRZA (MD) is a healthcare provider. based in Lees summit, Missouri. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. R1C10 (MO). The NPI Number for MOHAMMED AZHER MIRZA (MD) is 1710067822

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMMED AZHER MIRZA (MD)
NPI
1710067822
Phone
(816) 228-5335
Address
4045 NE LAKEWOOD WAY
Enumeration Date
16 October 2006
Last Update Date
11 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8168862184
Graduation Year
1981 (45 years ago)
PAC ID
4789699695
Group Practice PAC ID
4284865056
Professional Enrollment ID
I20060214000557
Address ID
MO640641995LE4045XWAYX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

832 PSYCHIATRY in MO

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Provider Addresses for MOHAMMED AZHER MIRZA (MD)

  • Epic Insurance, LLC, 4045, Northeast Lakewood Way, Executive Lakes Center, Lee's Summit, Jackson County, Missouri, 64064, United States

    STE 130

    LEES SUMMIT, MO 640641995

    Phone: (816) 228-5335

    Fax: (816) 228-7663

    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 238 Open Payments records for all available years, with a total value of $4,205.

Total Amount is formed as General ($4,205) + Research ($0) + Ownership ($0) = $4,205.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ITI, Inc. ($497).

Total Amount

$4,205

General + Research + Ownership

Payments

238

Total payment records

General Amount

$4,205

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2006-02-14

PECOS data refreshed: 2026-06-15

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
I20060214000557IPsychiatryMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes330109$0
99215Established patient office or other outpatient visit, 40-54 minutes18852$0
99214Established patient office or other outpatient visit, 30-39 minutes9858$0
90833Psychotherapy with evaluation and management visit, 30 minutes5738$0
90792Psychiatric diagnostic evaluation with medical services1212$0
View full utilization report →

Insurance plans in this area (ZIP 64064)

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Provider's Procedures

MOHAMMED AZHER MIRZA (MD) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYMO90792Psychiatric diagnostic evaluation with medical services2121

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: 4284865056View full group profile
NameSpecialtyState
Mental Health CounselorMO
P S Y C H I A T R YVA
Clinical Social WorkerUT
Mental Health CounselorMO
P S Y C H I A T R YMO
Nurse PractitionerKS
Nurse PractitionerMO
P S Y C H I A T R YKS
-KS

Reviews

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Frequently asked questions

How do I look up MOHAMMED AZHER MIRZA (MD) by NPI?
Use NPI 1710067822 when you need to reference MOHAMMED AZHER MIRZA (MD) in forms, claims, or directories.
Is MOHAMMED AZHER MIRZA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MOHAMMED AZHER MIRZA (MD) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for MOHAMMED AZHER MIRZA (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MOHAMMED AZHER MIRZA (MD)?
The page summarizes Lees Summit, Missouri for MOHAMMED AZHER MIRZA (MD); expand the address list for detail.
Is MOHAMMED AZHER MIRZA (MD) a real provider?
This page reflects official NPPES data for NPI 1710067822. Always confirm identity and privileges with the practice and licensing boards.

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