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SHERYAR MIRZA MD
NPI 1356043210
Internal Medicine in Bay Shore, NY

Active since March 21, 2023PECOS EnrolledAccepts Medicare Assignment
250 E MAIN ST, BAY SHORE, NY 11706(631) 665-0027(631) 665-0172 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sheryar Mirza Md NPPES

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

SHERYAR MIRZA MD (NPI 1356043210) is an individual internal medicine provider in Bay Shore, New York, licensed in New York (345629) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356043210
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHERYAR MIRZACredential: MD
Location Address250 E MAIN STBay Shore, NY 11706-8442
Mailing Address250 E Main StBay Shore, NY 11706-8442
Phone(631) 665-0027
Fax(631) 665-0172
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 21, 2023
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1356043210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 345629
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.
250 E MAIN ST, Bay Shore, NY 11706
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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 and accepts Medicare assignment

Sheryar 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 ID2567825466
PECOS Enrollment IDI20260713000933
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

2

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

John T. Mather Memorial Hospital
19 mi
Critical Care Medicine
75 N COUNTRY RD
Port Jefferson, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • 255 clinicians in this Medicare group
NPI 1467249334 (631) 473-1320
North Shore - Lij Medical PC
24 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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 11706 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 11

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

CANDACE COAKLEY-ASSEFA
Registered Nurse
250 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 665-0027
VICTORIA LUCILLE MIRANDA MS, RD, CPT
Dietitian, Registered
250 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 390-7100
SHAMAYL MUNAF AHMED MD
Internal Medicine (Infectious Disease)
250 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 587-7733
DINNISA SAINT-FLEUR PA-C
Physician Assistant
250 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 390-7100
DR. PALLAVI BUDDHADEV MANVAR-SINGH M.D.
Surgery (Vascular Surgery)
250 E MAIN ST, VASCULAR SURGERY
BAY SHORE, NY 11706
Suffolk County (631) 390-7100
DR. KELECHI AKUMA MD
Surgery (Vascular Surgery)
250 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 470-1460
AIDEN KHALIFA D.O.
Surgery (Surgical Critical Care)
250 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 390-7100
MISS MARIA ELIZABETH MATTSON NP
Nurse Practitioner (Adult Health)
250 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 390-7100

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 Sheryar Mirza's NPI number?

The NPI number for Sheryar Mirza is 1356043210. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Sheryar Mirza located?

Sheryar Mirza practices at 250 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 665-0027.

What is Sheryar Mirza's specialty?

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

Is Sheryar Mirza enrolled in Medicare?

Yes. Sheryar 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 Sheryar Mirza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheryar Mirza reassigns Medicare benefits to 2 organizations: John T. Mather Memorial Hospital (Port Jefferson, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). 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 Sheryar 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 Sheryar Mirza was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.