DANISH MIRZA (D.O.) – Internal Medicine Physician, NPI 1184005332

DANISH MIRZA (D.O.) is a healthcare provider. based in Salem, Oregon. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. OP61505037 (WA). The NPI Number for DANISH MIRZA (D.O.) is 1184005332

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DANISH MIRZA (D.O.)
NPI
1184005332
Phone
(503) 814-7557
Address
PO BOX 13129
Enumeration Date
13 June 2015
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608345055
Graduation Year
2015 (11 years ago)
PAC ID
7517218118
Group Practice PAC ID
8729526496
Professional Enrollment ID
I20240301001794
Address ID
WA986072058CA740XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Digital endpointsOther names

2,480 INTERNAL MEDICINE in OR

Provider Addresses for DANISH MIRZA (D.O.)

  • PO BOX 13129

    SALEM, OR 973091129

    Phone: (503) 814-7557

    Fax: (503) 814-7560

    Type: Mailing

  • 890 OAK ST SE

    SALEM, OR 97301

    Phone: (503) 561-5200

    Type: Location

  • 2805 NE 129TH ST

    VANCOUVER, WA 986863324

    Phone: (971) 910-3090

    Type: Mailing

  • 603 S Chestnut St

    Ellensburg, WA 989263875

    Phone: (303) 390-1940

    Type: Location

  • 1000 3rd St

    Tillamook, OR 971413430

    Phone: (503) 842-4444

    Type: Location

  • 1016 Tacoma Ave

    Sunnyside, WA 989442263

    Phone: (303) 390-1940

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-03-01

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180920002052IInternal MedicineORTBD
I20210319000054IInternal MedicineTXTBD
I20240301001794IInternal MedicineWATBD

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 minutes17376$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4444$0
99239Hospital discharge day management, more than 30 minutes4242$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2929$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2513$0
View full utilization report →

Insurance plans in this area (ZIP 97309)

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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: 8729526496View full group profile
NameSpecialtyState
Family PracticeWA
Family PracticeWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerNC
Family PracticeCO
Nurse PractitionerWA
Nurse PractitionerWA
General PracticeMD
Nurse PractitionerCO

Reviews

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Frequently asked questions

What unique ID ties claims to DANISH MIRZA (D.O.)?
NPI 1184005332 is assigned to DANISH MIRZA (D.O.) under the national enumeration system.
Is DANISH MIRZA (D.O.) active in the national directory?
DANISH MIRZA (D.O.)'s public NPI profile is in an active state.
What field does DANISH MIRZA (D.O.) work in?
You can think of DANISH MIRZA (D.O.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DANISH MIRZA (D.O.)'s primary listing?
We display Salem, Oregon because that is what the record indicates for DANISH MIRZA (D.O.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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