KHURRAM MIRZA
NPI 1053666420
Internal Medicine in Jasper, AL
About Khurram Mirza NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHURRAM MIRZA (NPI 1053666420) is an individual internal medicine provider in Jasper, Alabama, licensed in Alabama (38136) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Broward Health North, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Khurram Mirza is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Khurram Mirza reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winfield, AL 35594
- Reassigned Medicare billing, Alabama enrollment
- 430 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, Alabama enrollment
- 428 clinicians in this Medicare group
Baton Rouge, LA 70816
- Reassigned Medicare billing, Alabama enrollment
- 229 clinicians in this Medicare group
Jacksonville, FL 32209
- Reassigned Medicare billing, Florida enrollment
- 440 clinicians in this Medicare group
Boca Raton, FL 33428
- Reassigned Medicare billing, Florida enrollment
- 516 clinicians in this Medicare group
Boca Raton, FL 33431
- Reassigned Medicare billing, Florida enrollment
- 6 clinicians in this Medicare group
Fort Lauderdale, FL 33308
- Reassigned Medicare billing, Florida enrollment
- 81 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Broward Health North
Acute Care Hospitals · Pompano Beach, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JASPER, AL 35501
JASPER, AL 35501
JASPER, AL 35501
JASPER, AL 35501
JASPER, AL 35501
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Khurram Mirza's NPI number?
The NPI number for Khurram Mirza is 1053666420. It was assigned to this individual provider in the NPPES registry on July 20, 2012.
Where is Khurram Mirza located?
Khurram Mirza practices at 3400 Highway 78 E, Jasper, AL 35501. The listed phone number is (205) 387-4401.
What is Khurram Mirza's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Khurram Mirza enrolled in Medicare?
Yes. Khurram Mirza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Khurram Mirza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khurram Mirza reassigns Medicare benefits to 7 organizations: Baptist Health Centers, LLC (Winfield, AL), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Hospital Medicine Associates LLC (Baton Rouge, LA), Cogent Healthcare Of Jacksonville, LLC (Jacksonville, FL), Florida Hospital Medicine Services, LLC. (Boca Raton, FL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khurram Mirza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Khurram Mirza affiliated with any hospitals?
According to CMS data, Khurram Mirza is affiliated with Broward Health North.
When was this NPI record last updated?
The NPPES record for Khurram Mirza was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Khurram Mirza · NPI 1053666420
Internal Medicine physician in Jasper, Alabama. Individual provider, active in the CMS NPPES registry since July 20, 2012.
## Identity
- **NPI:** 1053666420 (Entity type: Individual)
- **Enumerated:** July 20, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 38136 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 HIGHWAY 78 E, Jasper, AL 35501-8956
- **Phone:** (205) 387-4401
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Baptist Health Centers, LLC (NPI 1265496236, Winfield, AL); Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); Hospital Medicine Associates LLC (NPI 1093758781, Baton Rouge, LA); Cogent Healthcare Of Jacksonville, LLC (NPI 1124252333, Jacksonville, FL); Florida Hospital Medicine Services, LLC. (NPI 1508873183, Boca Raton, FL); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** May 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053666420) · Data from the CMS NPPES public registry.