DR. SOBIA K MIRZA (M.D.) – Diagnostic Radiology Physician, NPI 1154613933

DR. SOBIA K MIRZA (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MT202413 (PA). The NPI Number for DR. SOBIA K MIRZA (M.D.) is 1154613933

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SOBIA K MIRZA (M.D.)
NPI
1154613933
Phone
Not provided
Address
3401 CIVIC CENTER BLVD
Enumeration Date
11 May 2011
Last Update Date
5 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8605452870
Graduation Year
2011 (15 years ago)
PAC ID
5698049450
Group Practice PAC ID
8729982525
Professional Enrollment ID
I20250530001865
Address ID
CT061063315HA80XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

2,576 DIAGNOSTIC RADIOLOGY in PA

Provider Addresses for DR. SOBIA K MIRZA (M.D.)

  • 3401 CIVIC CENTER BLVD

    PHILADELPHIA, PA 191044319

    Phone:

    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)

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: 2025-05-30

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
I20170919000402IDiagnostic RadiologyDCTBD
I20250530001865IDiagnostic RadiologyCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19104)

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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: 8729982525View full group profile
NameSpecialtyState
Diagnostic RadiologyMA
Diagnostic RadiologyVT
Diagnostic Radiology, Interventional RadiologyNY
Diagnostic RadiologyNJ
Diagnostic Radiology, Interventional RadiologyCT
-CT
Diagnostic RadiologyMA
Diagnostic RadiologyMA
-CT
-CT

Reviews

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Frequently asked questions

Where can patients find DR. SOBIA K MIRZA (M.D.)'s NPI?
You can confirm DR. SOBIA K MIRZA (M.D.) with NPI 1154613933; it appears in the national provider directory.
Is DR. SOBIA K MIRZA (M.D.) currently active in the NPI registry?
CMS-published data lists DR. SOBIA K MIRZA (M.D.) as an active registrant.
Can you summarize DR. SOBIA K MIRZA (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. SOBIA K MIRZA (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. SOBIA K MIRZA (M.D.) practice in Pennsylvania?
You will see Philadelphia, Pennsylvania on file for DR. SOBIA K MIRZA (M.D.) alongside any extra practice locations.
How can I contact DR. SOBIA K MIRZA (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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