AMBIR RAUF MIRZA MD
NPI 1114008547
Internal Medicine in Fort Worth, TX

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 820-4906 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ambir Rauf Mirza Md NPPES

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

AMBIR RAUF MIRZA MD (NPI 1114008547) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (L7468) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1114008547
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameAMBIR RAUF MIRZACredential: MD
Location Address1301 PENNSYLVANIA AVEFort Worth, TX 76104
Mailing AddressPo Box 8747Fort Worth, TX 76124-0747 · (817) 451-4208
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 22, 2018
✔ NPI 1114008547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · L7468
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.
Also ListedHospitalistTaxonomy 208M00000X · License L7468 (TX)
1301 PENNSYLVANIA AVE, Fort Worth, TX 76104

Other Names 1

Former Name (1)Ambir Waqar Malik Md

Other Identifiers 3

Other8H3654TX · Blue Cross & Blue Shield
OtherP00328249TX · Rail Road Medicare
Medicaid163419801TX

Accepted Insurance

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

Ambir Rauf Mirza Md 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 ID143111682
PECOS Enrollment IDI20040323001302
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ambir Mirza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
Hospitalist
602 INDIANA AVE
Lubbock, TX 79415
  • Reassigned Medicare billing, Texas enrollment
  • 64 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 3

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.

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.
384 services139 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
132 services125 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services13 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%128 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers51 claims51 services$17.56 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$873.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers52 claims52 services$95.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104
Internal Medicine
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Registered Nurse (Neonatal Intensive Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Pharmacist
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal, Critical Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104

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 Ambir Mirza's NPI number?

The NPI number for Ambir Mirza is 1114008547. It was assigned to this individual provider in the NPPES registry on October 19, 2006. The provider is also known as Ambir Waqar Malik MD.

Where is Ambir Mirza located?

Ambir Mirza practices at 1301 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 820-4906.

What is Ambir Mirza's specialty?

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

Is Ambir Mirza enrolled in Medicare?

Yes. Ambir 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 Ambir Mirza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ambir Mirza reassigns Medicare benefits to 3 organizations: Lonestar Hospital Medicine Associates, PA (Mansfield, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and Lubbock County Hospital District (Lubbock, TX). 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 Ambir Mirza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ambir Mirza accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Ambir Mirza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ambir Mirza affiliated with any hospitals?

According to CMS data, Ambir Mirza is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Ambir Mirza was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.