SAMINA YASMIN MIRZA M.D.
NPI 1154689594
Psychiatry & Neurology - Psychiatry in Brooklyn, NY

Q: What is Samina Mirza's NPI number?

The NPI number for Samina Mirza is 1154689594. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Q: What is Samina Mirza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Samina Mirza was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 23, 2012PECOS Enrolled

451 CLARKSON AVE, A BUILDING ROOM # 1218, BROOKLYN, NY 11203(718) 245-2507 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Samina Yasmin Mirza M.d. NPPES

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

SAMINA YASMIN MIRZA M.D. (NPI 1154689594) is an individual psychiatry provider in Brooklyn, New York, licensed in New York (280418) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154689594

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameSAMINA YASMIN MIRZACredential: M.D.

Location Address451 CLARKSON AVE, A BUILDING ROOM # 1218Brooklyn, NY 11203-2054

Mailing Address451 Clarkson Ave, A Building, Room #1218Brooklyn, NY 11203-2054 · (718) 245-2507

Phone(718) 245-2507

Sole ProprietorNo

Enumeration DateApril 23, 2012

Last NPPES UpdateJune 27, 2016

✔ NPI 1154689594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NY · 280418✔ Licensed in NJ · 25MA09729200

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

451 CLARKSON AVE, Brooklyn, NY 11203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samina Yasmin 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.

Medicare Billing Reassignments

Medicare enrollment records show Samina Mirza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Garden State Healthcare Associates, LLC

9.0 mi

Emergency Medicine

29 E 29TH ST
Bayonne, NJ 07002

Reassigned Medicare billing, New Jersey enrollment
637 clinicians in this Medicare group

NPI 1700014545 (844) 242-7436

Hudson Co Board Of Chosen Freehold Admin

11 mi

Psychiatric Hospital

595 COUNTY AVE BLDG 10
Secaucus, NJ 07094

Reassigned Medicare billing, New Jersey enrollment
21 clinicians in this Medicare group

NPI 1053470047 (201) 319-5252

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

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.

GEORGETTE JONES LCSW

Social Worker (Clinical)

451 CLARKSON AVE
BROOKLYN, NY 11203

Kings County (718) 245-3131

SHAYLA NICOLE REID

Obstetrics & Gynecology

451 CLARKSON AVE
BROOKLYN, NY 11203

Kings County (844) 692-4692

DR. NINAD DESAI MD

Pediatrics (Pediatric Hematology-Oncology)

451 CLARKSON AVE, KINGS COUNTY HOSPITAL CENTER; B 6202
BROOKLYN, NY 11203

Kings County (718) 245-4105

MS. BARBARA ANGELA HENDERSON RRT

General Acute Care Hospital

451 CLARKSON AVE
BROOKLYN, NY 11203

Kings County (718) 245-4526

VIKTORIYA TKACHENKO M.D.

Internal Medicine

451 CLARKSON AVE, BOX 22
BROOKLYN, NY 11203

Kings County (718) 245-2237

LANCE WINSLOW PSYD

Psychologist

451 CLARKSON AVE
BROOKLYN, NY 11203

Kings County (718) 245-1162

LYDIE KOHLER MCKENZIE MD

Emergency Medicine

451 CLARKSON AVE
BROOKLYN, NY 11203

Kings County (718) 245-4616

LEELA VENKAT MD

Anesthesiology

451 CLARKSON AVE
BROOKLYN, NY 11203

Kings County (718) 245-4408

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 Samina Mirza's NPI number?

The NPI number for Samina Mirza is 1154689594. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Samina Mirza located?

Samina Mirza practices at 451 Clarkson Ave A Building Room # 1218, Brooklyn, NY 11203. The listed phone number is (718) 245-2507.

What is Samina Mirza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samina Mirza enrolled in Medicare?

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

Which organizations bill Medicare for Samina Mirza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samina Mirza reassigns Medicare benefits to 2 organizations: Garden State Healthcare Associates, LLC (Bayonne, NJ) and Hudson Co Board Of Chosen Freehold Admin (Secaucus, NJ). 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 Samina Mirza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samina Mirza was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.