MANSOOR HUSSAIN MIRZA (MD) – Internal Medicine Physician, NPI 1508974502

MANSOOR HUSSAIN MIRZA (MD) is a healthcare provider. based in Hackensack, New Jersey. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 48060 (WI). The NPI Number for MANSOOR HUSSAIN MIRZA (MD) is 1508974502

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MANSOOR HUSSAIN MIRZA (MD)
NPI
1508974502
Phone
(732) 783-4746
Address
30 Prospect Ave
Enumeration Date
29 August 2006
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5519961288
Graduation Year
1997 (29 years ago)
PAC ID
3072549021
Group Practice PAC ID
9133032519
Professional Enrollment ID
I20240429001189
Address ID
NJ076011915HA30XXXAVEX300
Telehealth
Yes

Contacts

Secure Messaging
mmirza22504@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

6,893 INTERNAL MEDICINE in NJ

Provider Addresses for MANSOOR HUSSAIN MIRZA (MD)

  • 30 Prospect Ave

    Hackensack, NJ 076011915

    Phone: (732) 783-4746

    Fax: (848) 245-8571

    Type: Location

  • 3600 ROUTE 66 FL 3

    NEPTUNE, NJ 077532645

    Phone: (732) 807-0877

    Fax: (201) 751-1680

    Type: Mailing

  • 2414, Kohler Memorial Drive, Sheboygan, Sheboygan County, Wisconsin, 53081, United States

    SHEBOYGAN, WI 530813129

    Phone: (920) 457-4461

    Fax: (920) 459-1483

    Type: Mailing

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-06-20 • Largest payer in this snapshot: PFIZER INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$18
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: 2024-04-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050712000423IInternal MedicineWITBD
I20240429001189IInternal MedicineNJTBD

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 minutes1,285293$0
99239Hospital discharge day management, more than 30 minutes221211$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes181117$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes127122$0
View full utilization report →

Insurance plans in this area (ZIP 07601)

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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: 9133032519View full group profile
NameSpecialtyState
-NY
-NJ
Geriatric Medicine, Internal MedicineNJ
Nurse PractitionerNJ
Physician AssistantNJ
Vascular SurgeryNY
Physician AssistantNJ
Physician AssistantNY
Orthopedic SurgeryNJ
General SurgeryNJ

Reviews

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Frequently asked questions

What unique ID ties claims to MANSOOR HUSSAIN MIRZA (MD)?
NPI 1508974502 is assigned to MANSOOR HUSSAIN MIRZA (MD) under the national enumeration system.
Is MANSOOR HUSSAIN MIRZA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MANSOOR HUSSAIN MIRZA (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for MANSOOR HUSSAIN MIRZA (MD). Clinical services aligned with this taxonomy classification.
Where does public data place MANSOOR HUSSAIN MIRZA (MD)?
The snapshot lists Hackensack, New Jersey for MANSOOR HUSSAIN MIRZA (MD); download NPPES for the complete set.
How can I contact MANSOOR HUSSAIN MIRZA (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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