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HUMA IRSHAD MD
NPI 1356696264
Family Medicine in Danbury, CT

Active since July 17, 2012PECOS Enrolled
76.52/100
CMS Quality Rating
35 WHITE ST UNIT 6, DANBURY, CT 06810(203) 816-2255(203) 816-2250 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2024, Jun 9, 2023, Nov 24, 2019 and 1 more (4 updates tracked since 2016).

About Huma Irshad Md NPPES

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

HUMA IRSHAD MD (NPI 1356696264) is an individual family medicine provider in Danbury, Connecticut, licensed in Connecticut (73470) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1356696264
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHUMA IRSHADCredential: MD
Location Address35 WHITE ST UNIT 6Danbury, CT 06810-3632
Mailing Address35 White St Unit 6Danbury, CT 06810-3632 · (203) 816-2255 · Fax (203) 816-2250
Phone(203) 816-2255
Fax(203) 816-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 17, 2012
Last NPPES UpdateMay 23, 20244 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1356696264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CT · 73470✔ Licensed in ND · RL12424
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
35 WHITE ST UNIT 6, Danbury, CT 06810
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Huma Irshad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890062467
PECOS Enrollment IDI20231212001361
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 Reassignment

Medicare enrollment records show Huma Irshad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Med Care PC
Same address
Family Medicine
35 WHITE ST UNIT 6
Danbury, CT 06810
  • Reassigned Medicare billing, Connecticut enrollment
  • 2 clinicians in this Medicare group
NPI 1861176059 (917) 536-6126

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 3

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.
46 services38 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.
23 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Other Providers at the Same Location NPPES

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

MED CARE PC
Family Medicine
35 WHITE ST UNIT 6
DANBURY, CT 06810
Western Connecticut Planning Region (917) 536-6126

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 Huma Irshad's NPI number?

The NPI number for Huma Irshad is 1356696264. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Huma Irshad located?

Huma Irshad practices at 35 White St Unit 6, Danbury, CT 06810. The listed phone number is (203) 816-2255.

What is Huma Irshad's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Huma Irshad enrolled in Medicare?

Yes. Huma Irshad is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Huma Irshad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Huma Irshad reassigns Medicare benefits to Med Care PC (Danbury, CT). The 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 Huma Irshad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Huma Irshad accept?

Health plans from Anthem Blue Cross and Blue Shield list Huma Irshad 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.

When was this NPI record last updated?

The NPPES record for Huma Irshad was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.