AMBIR RAUF MIRZA (MD) – Internal Medicine Physician, NPI 1114008547

AMBIR RAUF MIRZA (MD) is a healthcare provider. based in Fort worth, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. L7468 (TX). The NPI Number for AMBIR RAUF MIRZA (MD) is 1114008547

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
AMBIR RAUF MIRZA (MD)
NPI
1114008547
Phone
(817) 451-4208
Address
PO BOX 8747
Enumeration Date
19 October 2006
Last Update Date
22 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067758200
Graduation Year
1997 (29 years ago)
PAC ID
0143111682
Group Practice PAC ID
6709028954
Professional Enrollment ID
I20040323001302
Address ID
TX794153364LU602XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for AMBIR RAUF MIRZA (MD)

  • Fort Worth Jack D. Watson Post Office, 4600, Mark IV Parkway, Fort Worth, Tarrant County, Texas, 76161, United States

    FORT WORTH, TX 761240747

    Phone: (817) 451-4208

    Type: Mailing

  • Texas Health Harris Methodist Hospital Fort Worth, 1301, Pennsylvania Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 76104

    Phone: (817) 820-4906

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $157.

Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Silk Road Medical, Inc. ($78).

Total Amount

$157

General + Research + Ownership

Payments

5

Total payment records

General Amount

$157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-03-23

PECOS data refreshed: 2026-05-27

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
I20040323001302IInternal MedicineTXTBD

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 minutes348125$0
99239Hospital discharge day management, more than 30 minutes9191$0
99238Hospital discharge day management, 30 minutes or less3030$0
View full utilization report →

Insurance plans in this area (ZIP 76124)

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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: 6709028954View full group profile
NameSpecialtyState
Internal MedicineCO
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicineTX
Internal MedicineNY
Physician AssistantTX
Internal MedicineTN
Internal MedicineTX

Reviews

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Frequently asked questions

What number should I use to identify AMBIR RAUF MIRZA (MD) for billing?
Administrative and clinical systems typically use NPI 1114008547 for AMBIR RAUF MIRZA (MD).
Is AMBIR RAUF MIRZA (MD)'s NPI status active today?
Active status means AMBIR RAUF MIRZA (MD)'s NPI record is not deactivated in the public file.
How should patients interpret AMBIR RAUF MIRZA (MD)'s specialty?
The extract shows Internal Medicine Physician for AMBIR RAUF MIRZA (MD). Clinical services aligned with this taxonomy classification.
What city is tied to AMBIR RAUF MIRZA (MD)?
The directory associates AMBIR RAUF MIRZA (MD) with Fort Worth, Texas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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