KATHARYN I MIRZAEE MD
NPI 1386204915
Hospitalist in Jacksonville, FL

Q: What is Katharyn Mirzaee's NPI number?

The NPI number for Katharyn Mirzaee is 1386204915. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Q: What is Katharyn Mirzaee's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Katharyn Mirzaee was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 17, 2019PECOS EnrolledAccepts Medicare Assignment

820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207(904) 202-3860(904) 202-3846 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2025, Feb 26, 2020, Jun 17, 2019 (3 updates tracked since 2019).

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About Katharyn I Mirzaee Md NPPES

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

KATHARYN I MIRZAEE MD (NPI 1386204915) is an individual hospitalist provider in Jacksonville, Florida, licensed in Florida (ME172745) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Univ Of Central Florida, College Of Medicine (2019).

NPPES Registry Identity

NPI1386204915

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameKATHARYN I MIRZAEECredential: MD

Location Address820 PRUDENTIAL DR STE 304Jacksonville, FL 32207-8205

Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075

Phone(904) 202-3860

Fax(904) 202-3846

Sole ProprietorNo

Medical School CMSUniv Of Central Florida, College Of MedicineGraduated 2019

Enumeration DateJune 17, 2019

Last NPPES UpdateApril 3, 20253 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1386204915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in FL · ME172745

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License ME172745 (FL), 4351045083 (MI)

820 PRUDENTIAL DR STE 304, Jacksonville, FL 32207

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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

Katharyn I Mirzaee 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 ID7214261858

PECOS Enrollment IDI20250321003460

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 Katharyn Mirzaee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Primary Care Inc

Same address

Infectious Disease

820 PRUDENTIAL DR, SUITE 515
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
569 clinicians in this Medicare group

NPI 1588846869 (904) 396-4886

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 4

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 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.

303 services120 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.

103 services102 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

77 services77 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.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

SANDRELA MUSSALLAM ABU SHAIBEH

Hospitalist