OWAIS MIRZA – Psychiatric/Mental Health Nurse Practitioner, NPI 1376158824

OWAIS MIRZA is a healthcare provider. based in Richmond, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1009127 (TX). The NPI Number for OWAIS MIRZA is 1376158824

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
OWAIS MIRZA
NPI
1376158824
Phone
(832) 810-0200
Address
5600 BERKLEY KNOLL CIR APT 6101
Enumeration Date
11 September 2020
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8328100200
Graduation Year
2024 (2 years ago)
PAC ID
5496273898
Group Practice PAC ID
9436586153
Professional Enrollment ID
I20250520000499
Address ID
TX773803551SP25319NXXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for OWAIS MIRZA

  • 5600 BERKLEY KNOLL CIR APT 6101

    RICHMOND, TX 774073343

    Phone: (832) 810-0200

    Type: Mailing

  • 25319 INTERSTATE 45 STE 100

    SPRING, TX 773803551

    Phone: (832) 810-0200

    Fax: (888) 682-7273

    Type: Location

  • 1155 DAIRY ASHFORD RD

    HOUSTON, TX 770793021

    Phone: (713) 799-2200

    Type: Mailing

  • 6316 COOL WATER DR

    SUGAR LAND, TX 774795529

    Phone: (346) 247-8616

    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: 2025-05-20

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
I20250520000499INurse PractitionerTXTBD

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 77407)

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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: 9436586153View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Psychiatry, Sleep MedicineIL

Reviews

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Frequently asked questions

Can I verify OWAIS MIRZA with an NPI only?
You can start verification with NPI 1376158824 for OWAIS MIRZA, then check state licensing separately.
Is OWAIS MIRZA still practicing?
OWAIS MIRZA is currently listed as active in the public NPI registry.
What healthcare role does OWAIS MIRZA hold?
Scheduling teams often label OWAIS MIRZA under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for OWAIS MIRZA?
OWAIS MIRZA's geographic hint is Richmond, Texas in our summary view.
Why does OWAIS MIRZA have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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