NUREAIN MIRZA MD
NPI 1205876414
Internal Medicine - Critical Care Medicine in Oak Lawn, IL

Q: What is Nureain Mirza's NPI number?

The NPI number for Nureain Mirza is 1205876414. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Nureain Mirza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Nureain Mirza was last updated on May 30, 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.

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment

80.83/100

CMS Quality Rating

9555 S 52ND AVE, OAK LAWN, IL 60453(708) 684-6867(708) 684-6869 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Nureain Mirza Md NPPES

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

NUREAIN MIRZA MD (NPI 1205876414) is an individual critical care medicine provider in Oak Lawn, Illinois, licensed in Illinois (036115896) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and maintains a secondary practice location in Lombard.

NPPES Registry Identity

NPI1205876414

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameNUREAIN MIRZACredential: MD

Location Address9555 S 52ND AVEOak Lawn, IL 60453-3054

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(708) 684-6867

Fax(708) 684-6869

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJune 7, 2006

Last NPPES UpdateMay 30, 2025

NPPES CertifiedMay 30, 2025

✔ NPI 1205876414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in IL · 036115896

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036115896 (IL)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036115896 (IL)

9555 S 52ND AVE, Oak Lawn, IL 60453

Open in Google Maps ↗

Secondary Practice Location 1

Location 12340 S Highland Ave, Suite #230Lombard, IL 60148-5374 · Phone (630) 932-2040 · Fax (630) 932-1513

Other Identifiers 3

Medicaid036115896IL

Medicaid200822680IN

Other965000IL · Medicare Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Aspirus Health Plan and more.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

Nureain 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 ID2860418159

PECOS Enrollment IDI20071026000641

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 Nureain Mirza reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corporation

0.7 mi

Mental Health (Including Community Mental Health Center)

4700 W 95TH ST, SUITE LOWER LEVEL 5
Oak Lawn, IL 60453

Reassigned Medicare billing, Illinois enrollment
4,870 clinicians in this Medicare group

NPI 1174747075 (800) 216-1110

Mount Sinai Community Foundation

4.6 mi

Emergency Medicine

2701 W 68TH ST
Chicago, IL 60629

Reassigned Medicare billing, Illinois enrollment
646 clinicians in this Medicare group

NPI 1578972188 (773) 884-9000

Pulmonary, Critical Care & Sleep Associates

13 mi

Pulmonary Disease

902 SAINT STEPHENS GRN
Oak Brook, IL 60523

Reassigned Medicare billing, Illinois enrollment

NPI 1366839854 (914) 275-3824

Midwest Pulmonary Associates S.C.

16 mi

Internal Medicine

2340 S HIGHLAND AVE, 230
Lombard, IL 60148

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Midwest Pulmonary Associates Sc
5 clinicians in this Medicare group

NPI 1790743417 (630) 932-2040

Aurora Medical Group, Inc.

89 mi

Nurse Anesthetist, Certified Registered

3301 W FOREST HOME AVE
Milwaukee, WI 53215

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1427271378 (877) 576-3544

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 16

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 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.

1,630 services225 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

436 services270 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

131 services119 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

108 services48 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

102 services101 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

99 services98 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

87 services87 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

67 services67 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.

60 services28 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.

44 services44 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

31 services31 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

30 services29 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

30 services30 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

25 services24 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services16 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140133

Location2701 W 68th StreetChicago, IL 60629 · Cook County

Emergency services

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number140200

Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County

Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140288

Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County

Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140290

Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

80.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.96

Promoting Interoperability

Improvement Activities

Cost

63.15

Referred Medical Equipment & Supplies CMS DME claims 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

10 suppliers89 claims89 services$33.52 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

6 suppliers48 claims48 services$74.35 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers47 claims134 services$28.72 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

12 suppliers40 claims223 services$14.65 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

8 suppliers19 claims105 services$12.82 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

15 suppliers66 claims66 services$45.04 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

15 suppliers73 claims73 services$15.29 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

8 suppliers21 claims21 services$10.02 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

15 suppliers103 claims597 services$1.67 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

7 suppliers20 claims20 services$5.22 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

14 suppliers58 claims58 services$10.78 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

8 suppliers89 claims89 services$14.13 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

5 suppliers25 claims25 services$917.05 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers27 claims27 services$3.33 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers79 claims79 services$25.78 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

13 suppliers169 claims169 services$62.42 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers46 claims46 services$28.95 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

12 suppliers17 claims5,139 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

6 suppliers19 claims1,530 services$0.09 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$32.34 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

8 suppliers23 claims23 services$20.36 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.

ELIZABETH M PAYMENT MD

Family Medicine

9555 S 52ND AVE
OAK LAWN, IL 60453

Cook County (708) 634-0950

DR. DOBROSLAV DOBRIKOV DO

Family Medicine

9555 S 52ND AVE
OAK LAWN, IL 60453

Cook County (708) 422-5700

BHARATI PRASAD M.D.

Internal Medicine (Critical Care Medicine)

9555 S 52ND AVE
OAK LAWN, IL 60453

Cook County (708) 684-6867

LORENA GUZMAN-SCHMITT APRN

Nurse Practitioner (Family)

9555 S 52ND AVE
OAK LAWN, IL 60453

Cook County (708) 684-5437

GURANKIT SINGH DO

Family Medicine

9555 S 52ND AVE
OAK LAWN, IL 60453

Cook County (708) 422-5700

ERIKA VILLANUEVA

Dietitian, Registered

9555 S 52ND AVE
OAK LAWN, IL 60453

Cook County (708) 634-0950

DR. VASANTHA SAMALA M.D.

Internal Medicine (Critical Care Medicine)

9555 S 52ND AVE
OAK LAWN, IL 60453

Cook County (708) 634-0950

KELLY N BILLINGSLEY NP

Nurse Practitioner (Family)

9555 S 52ND AVE
OAK LAWN, IL 60453

Cook County (708) 634-0950

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 Nureain Mirza's NPI number?

The NPI number for Nureain Mirza is 1205876414. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Nureain Mirza located?

Nureain Mirza practices at 9555 S 52nd Ave, Oak Lawn, IL 60453. The listed phone number is (708) 684-6867.

What is Nureain Mirza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Nureain Mirza enrolled in Medicare?

Yes. Nureain 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 Nureain Mirza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nureain Mirza reassigns Medicare benefits to 5 organizations: Advocate Health And Hospitals Corporation (Oak Lawn, IL), Mount Sinai Community Foundation (Chicago, IL), Pulmonary, Critical Care & Sleep Associates (Oak Brook, IL), Midwest Pulmonary Associates S.C. (Lombard, IL) and Aurora Medical Group, Inc. (Milwaukee, WI). 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 Nureain Mirza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nureain Mirza accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Aspirus Health Plan and CareSource (Common Ground Healthcare) list Nureain 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 Nureain Mirza affiliated with any hospitals?

According to CMS data, Nureain Mirza is affiliated with Holy Cross Hospital, Elmhurst Memorial Hospital, Alexian Brothers Medical Center 1, Advocate Good Samaritan Hospital and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Nureain Mirza was last updated on May 30, 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.