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BABAR MIRZA MD
NPI 1265442875
Specialist in Old Bridge, NJ

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
42 THROCKMORTON LN, 2ND FLOOR, OLD BRIDGE, NJ 08857(732) 607-1111(732) 607-0552 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Babar Mirza Md NPPES

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

BABAR MIRZA MD (NPI 1265442875) is an individual specialist in Old Bridge, New Jersey, licensed in New Jersey (MA049580) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1265442875
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameBABAR MIRZACredential: MD
Location Address42 THROCKMORTON LN, 2ND FLOOROld Bridge, NJ 08857-2572
Mailing Address32 N Main StMarlboro, NJ 07746-1429 · (732) 462-4100 · Fax (732) 462-4549
Phone(732) 607-1111
Fax(732) 607-0552
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 8, 2006
Last NPPES UpdateApril 16, 2012
✔ NPI 1265442875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · MA049580
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

42 THROCKMORTON LN, Old Bridge, NJ 08857
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Other Identifiers 3

Medicare UPINF21268NJ
OtherMI031798NJ · Medicare Id Type Unspecified
Medicaid5288100NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Babar 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 ID4385787803
PECOS Enrollment IDI20100205000624
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
543 services252 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.
172 services113 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
69 services69 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
65 services65 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
63 services63 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
52 services49 patients

Hospital Affiliations CMS Care Compare

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
2%362 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
27%811 patients2/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
23%241 patients1/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
48%1,460 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%401 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
30%47 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
39%1,255 patients2/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
29%591 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%1,460 patients5/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
16%1,403 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%1,255 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,255 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
99%557 patients1/55-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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers62 claims151 services$5.29 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers23 claims32 services$1.09 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims720 services$6.53 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$26.05 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 12

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

SHAUKAT CHAUDHERY MD
Specialist
42 THROCKMORTON LN, 2ND FLOOR
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-1111
ENDO SURGI CENTER OF OLD BRIDGE LLC
Clinic/Center (Ambulatory Surgical)
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Middlesex County (732) 679-8808
ASSOCIATES IN CARDIOLOGY AND INTERNAL MEDICINE PA
Specialist
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-9301
A-ONE SLEEP CENTER LLC
Clinic/Center (Sleep Disorder Diagnostic)
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Middlesex County (732) 679-0005
CRAIG C PRICE MD
Internal Medicine
42 THROCKMORTON LN, SECOND FLOOR
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-1111
RANA JAFRI MD
Internal Medicine
42 THROCKMORTON LN, 2ND FLOOR
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-1111
RAVINDRA PATEL MD
Internal Medicine (Cardiovascular Disease)
42 THROCKMORTON LN, 2ND FLOOR
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-1111
SHELDON ALAN WEINSTEIN ESTATE
General Practice
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Middlesex County (732) 952-3999

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 Babar Mirza's NPI number?

The NPI number for Babar Mirza is 1265442875. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Babar Mirza located?

Babar Mirza practices at 42 Throckmorton Ln 2nd Floor, Old Bridge, NJ 08857. The listed phone number is (732) 607-1111.

What is Babar Mirza's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Babar Mirza enrolled in Medicare?

Yes. Babar 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.

What insurance does Babar Mirza accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Babar 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 Babar Mirza affiliated with any hospitals?

According to CMS data, Babar Mirza is affiliated with Raritan Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Babar Mirza was last updated on April 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.