TAHIRA F MIRZA M.D.
NPI 1063690691
Surgery - Surgical Critical Care in Weymouth, MA

Active since February 06, 2008
55 FOGG RD, WEYMOUTH, MA 02190(781) 792-4121(781) 878-6750 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2021, Mar 17, 2018, Dec 16, 2016 (3 updates tracked since 2016).

About Tahira F Mirza M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAHIRA F MIRZA M.D. (NPI 1063690691) is an individual surgical critical care provider in Weymouth, Massachusetts, licensed in Massachusetts (257617) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1063690691
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameTAHIRA F MIRZACredential: M.D.
Location Address55 FOGG RDWeymouth, MA 02190-2432
Mailing Address55 Fogg Rd, Coastal Medical AssociatesSouth Weymouth, MA 02190-2432 · (781) 624-8000 · Fax (781) 878-6750
Fax(781) 878-6750
Sole ProprietorNo
Enumeration DateFebruary 6, 2008
Last NPPES UpdateAugust 24, 20213 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
NPI 1063690691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Licenses Licensed in MA · 257617 Licensed in MI · 4301072064 Licensed in CT · 042481
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 036-119777 (IL)
55 FOGG RD, Weymouth, MA 02190

Other Identifiers 1

Medicaid036119777IL

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.

Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Radiology (Diagnostic Radiology)
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Nurse Practitioner (Psychiatric/Mental Health)
55 FOGG RD
WEYMOUTH, MA 02190
Pediatrics
55 FOGG RD
S WEYMOUTH, MA 02190
Social Worker (Clinical)
55 FOGG RD
WEYMOUTH, MA 02190
Student in an Organized Health Care Education/Training Program
55 FOGG RD
SOUTH WEYMOUTH, MA 02190

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 Tahira Mirza's NPI number?

The NPI number for Tahira Mirza is 1063690691. It was assigned to this individual provider in the NPPES registry on February 6, 2008.

Where is Tahira Mirza located?

Tahira Mirza practices at 55 Fogg Rd, Weymouth, MA 02190. The listed phone number is (781) 792-4121.

What is Tahira Mirza's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

When was this NPI record last updated?

The NPPES record for Tahira Mirza was last updated on August 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.