DR. GHULAM R. MIRZA M.D.
NPI 1083706469
Internal Medicine in Grand Island, NE

Active since September 29, 2006PECOS Enrolled
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803(308) 382-3660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ghulam R. Mirza M.d. NPPES

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

DR. GHULAM R. MIRZA M.D. (NPI 1083706469) is an individual internal medicine provider in Grand Island, Nebraska, licensed in Nebraska (21292) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083706469
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GHULAM R. MIRZACredential: M.D.
Location Address2201 N BROADWELL AVEGrand Island, NE 68803-2153
Mailing Address1619 W Charles StGrand Island, NE 68801-6316 · (308) 384-1347
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083706469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NE · 21292
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2201 N BROADWELL AVE, Grand Island, NE 68803

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ghulam R. Mirza M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68803 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

Health and Wellness Coach
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803
Nurse Practitioner (Family)
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803
Prosthetist
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803
Registered Nurse
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803
Registered Nurse
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803
Physician Assistant (Medical)
2201 N BROADWELL AVE, NWIVAHCS
GRAND ISLAND, NE 68803
Psychiatry & Neurology (Psychiatry)
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803
Dentist (Prosthodontics)
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803

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 Ghulam Mirza's NPI number?

The NPI number for Ghulam Mirza is 1083706469. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Ghulam Mirza located?

Ghulam Mirza practices at 2201 N Broadwell Ave, Grand Island, NE 68803. The listed phone number is (308) 382-3660.

What is Ghulam Mirza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ghulam Mirza enrolled in Medicare?

Yes. Ghulam Mirza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ghulam Mirza was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.