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IFFATH MIZAN MD
NPI 1154128783
Student in an Organized Health Care Education/Training Program in St Petersburg, FL

Active since March 01, 2025PECOS Enrolled
1200 7TH AVE N # 2063, ST PETERSBURG, FL 33705(727) 825-1100 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2025, Mar 1, 2025 (2 updates tracked since 2025).

About Iffath Mizan Md NPPES

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

IFFATH MIZAN MD (NPI 1154128783) is an individual student in an organized health care education/training program in St Petersburg, Florida and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154128783
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIFFATH MIZANCredential: MD
Location Address1200 7TH AVE N # 2063St Petersburg, FL 33705-1388
Mailing Address1200 7th Ave N # 2063St Petersburg, FL 33705-1388 · (727) 825-1100
Phone(727) 825-1100
Sole ProprietorNo
Enumeration DateMarch 1, 2025
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1154128783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 7TH AVE N # 2063, St Petersburg, FL 33705
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iffath Mizan Md 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EJAZ AHMED KHAN
Student in an Organized Health Care Education/Training Program
1200 7TH AVE N # 2063
ST PETERSBURG, FL 33705
Pinellas County (727) 825-1100
IPEK BURKUT SARIOGUZ MD
Student in an Organized Health Care Education/Training Program
1200 7TH AVE N # 2063
ST PETERSBURG, FL 33705
Pinellas County (727) 825-1100
DR. DOAA HASAN MD
Student in an Organized Health Care Education/Training Program
1200 7TH AVE N # 2063
ST PETERSBURG, FL 33705
Pinellas County (813) 586-6993

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 Iffath Mizan's NPI number?

The NPI number for Iffath Mizan is 1154128783. It was assigned to this individual provider in the NPPES registry on March 1, 2025.

Where is Iffath Mizan located?

Iffath Mizan practices at 1200 7th Ave N # 2063, St Petersburg, FL 33705. The listed phone number is (727) 825-1100.

What is Iffath Mizan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Iffath Mizan enrolled in Medicare?

Yes. Iffath Mizan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Iffath Mizan was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.