RUBINA A MIRZA (MD) – Interventional Cardiology Physician, NPI 1972564359
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
783 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MO
Provider Addresses for RUBINA A MIRZA (MD)
Katy Lane, Loma Linda, Poplar Bluff, Butler County, Missouri, 63901, United States
POPLAR BLUFF, MO 639012300
Phone: (573) 785-0080
Fax: (573) 785-0811
Type: Mailing
2360 Katy Ln
Poplar Bluff, MO 639012300
Phone: (573) 785-0080
Fax: (573) 785-0811
Type: Location
1818 N Meade St
Appleton, WI 549113454
Phone: (920) 731-8900
Type: Location
1212 SAINT FRANCIS DR
DEXTER, MO 638412769
Phone: (573) 614-3600
Fax: (573) 614-3601
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $268.
Total Amount is formed as General ($268) + Research ($0) + Ownership ($0) = $268.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($117).
Total Amount
$268
General + Research + Ownership
Payments
9
Total payment records
General Amount
$268
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20051228000655 | I | Cardiovascular Disease (Cardiology) | IL | TBD |
| I20081022000467 | I | Cardiovascular Disease (Cardiology) | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 675 | 275 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 238 | 201 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 106 | 92 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 81 | 75 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 77 | 77 | $0 |
Insurance plans in this area (ZIP 63901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MO | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 63 | 63 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MO | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 24 | 24 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MO | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 15 | 12 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MO | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 37 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | MO | |
| General Surgery | MO |
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