ARSLAN MIRZA M.D
NPI 1073928776
Internal Medicine - Interventional Cardiology in Carbondale, IL

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
75.73/100
CMS Quality Rating
409 W OAK ST, CARBONDALE, IL 62901(618) 529-4455(618) 351-1287 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2024, Dec 22, 2022, Jul 20, 2021 and 2 more (5 updates tracked since 2021).

About Arslan Mirza M.d NPPES

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

ARSLAN MIRZA M.D (NPI 1073928776) is an individual interventional cardiology provider in Carbondale, Illinois, licensed in Illinois (036154731) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073928776
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameARSLAN MIRZACredential: M.D
Location Address409 W OAK STCarbondale, IL 62901-1464
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Fax(618) 351-1287
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 23, 2014
Last NPPES UpdateNovember 6, 20245 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
NPI 1073928776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in IL · 036154731
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT207340 (PA), 036154731 (IL)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036154731 (IL)
409 W OAK ST, Carbondale, IL 62901

Secondary Practice Locations 3

Location 15383 State Route 154Pinckneyville, IL 62274-3342 · Phone (618) 529-4455 · Fax (618) 351-1287
Location 2217 S Park Ave Ste 2Herrin, IL 62948-3611 · Phone (618) 529-4455 · Fax (618) 351-1287
Location 33905 W Ernestine DrMarion, IL 62959-5800 · Phone (618) 529-4455 · Fax (618) 351-1287

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Arslan Mirza M.d 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.

PECOS PAC ID7113216169
PECOS Enrollment IDI20210609001244
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 34

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,136 services829 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
502 services486 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
410 services342 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
175 services85 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
159 services92 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
113 services47 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Pinckneyville Community Hospital

Critical Access Hospitals · Pinckneyville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141307
Location5383 State Route 154Pinckneyville, IL 62274 · Perry County
Emergency services

Marshall Browning Hospital

Critical Access Hospitals · Du Quoin, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141331
Location900 North Washington StreetDu Quoin, IL 62832 · Perry County
Emergency services

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141334
Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

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.

Internal Medicine (Interventional Cardiology)
409 W OAK ST
CARBONDALE, IL 62901
Physician Assistant
409 W OAK ST
CARBONDALE, IL 62901
Internal Medicine (Cardiovascular Disease)
409 W OAK ST
CARBONDALE, IL 62901
Thoracic Surgery (Cardiothoracic Vascular Surgery)
409 W OAK ST
CARBONDALE, IL 62901
Physician Assistant
409 W OAK ST
CARBONDALE, IL 62901
Internal Medicine (Cardiovascular Disease)
409 W OAK ST
CARBONDALE, IL 62901
Nuclear Medicine (Nuclear Cardiology)
409 W OAK ST
CARBONDALE, IL 62901
Nurse Practitioner
409 W OAK ST
CARBONDALE, IL 62901

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 Arslan Mirza's NPI number?

The NPI number for Arslan Mirza is 1073928776. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Arslan Mirza located?

Arslan Mirza practices at 409 W Oak St, Carbondale, IL 62901. The listed phone number is (618) 529-4455.

What is Arslan Mirza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Arslan Mirza enrolled in Medicare?

Yes. Arslan 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.

Is Arslan Mirza affiliated with any hospitals?

According to CMS data, Arslan Mirza is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Pinckneyville Community Hospital, Marshall Browning Hospital and St Joseph Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Arslan Mirza was last updated on November 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.