AHMED IHSAN MIRZA FNP-C
NPI 1407320559
Nurse Practitioner - Family in Allen Park, MI
About Ahmed Ihsan Mirza Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AHMED IHSAN MIRZA FNP-C (NPI 1407320559) is an individual family provider in Allen Park, Michigan, licensed in New Hampshire (079537-23) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ahmed Ihsan Mirza Fnp-c 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.
Medicare Billing Reassignments
10Medicare enrollment records show Ahmed Mirza reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Allen Park, MI 48101
- Reassigned Medicare billing, Michigan enrollment
- 6 clinicians in this Medicare group
Dearborn Heights, MI 48127
- Reassigned Medicare billing, Michigan enrollment
- 12 clinicians in this Medicare group
Dearborn Heights, MI 48127
- Reassigned Medicare billing, Michigan enrollment
- 12 clinicians in this Medicare group
Livonia, MI 48154
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Epmg Of Michigan PC
- 175 clinicians in this Medicare group
Lansing, MI 48910
- Reassigned Medicare billing, Michigan enrollment
- 295 clinicians in this Medicare group
Mc Bain, MI 49657
- Reassigned Medicare billing, Michigan enrollment
- 156 clinicians in this Medicare group
Killeen, TX 76549
- Reassigned Medicare billing, Texas enrollment
- 214 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 547 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 5 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 140 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Dearborn
Acute Care Hospitals · Dearborn, MIBeaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ahmed Mirza's NPI number?
The NPI number for Ahmed Mirza is 1407320559. It was assigned to this individual provider in the NPPES registry on January 11, 2019.
Where is Ahmed Mirza located?
Ahmed Mirza practices at 19100 Goddard Rd, Allen Park, MI 48101. The listed phone number is (313) 763-0309.
What is Ahmed Mirza's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ahmed Mirza enrolled in Medicare?
Yes. Ahmed 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 Ahmed Mirza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ahmed Mirza reassigns Medicare benefits to 10 organizations: Medworks Urgent Care PLLC (Allen Park, MI), Family Doc Clinic And Urgent Care PLLC (Dearborn Heights, MI), Family Doc Urgent Care PLLC (Dearborn Heights, MI), Epmg Of Michigan, P.C. (Livonia, MI), Degara App, PLLC (Lansing, MI) and 5 more organizations, listed in the Medicare section above. 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 Ahmed Mirza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ahmed Mirza accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Ahmed 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 Ahmed Mirza affiliated with any hospitals?
According to CMS data, Ahmed Mirza is affiliated with Beaumont Hospital - Dearborn and Beaumont Hospital Royal Oak.
When was this NPI record last updated?
The NPPES record for Ahmed Mirza was last updated on June 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ahmed Ihsan Mirza, FNP-C · NPI 1407320559
Family physician in Allen Park, Michigan. Individual provider, active in the CMS NPPES registry since January 11, 2019.
## Identity
- **NPI:** 1407320559 (Entity type: Individual)
- **Enumerated:** January 11, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 079537-23 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 19100 GODDARD RD, Allen Park, MI 48101-1156
- **Phone:** (313) 763-0309 · **Fax:** (313) 771-9947
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Medworks Urgent Care PLLC (NPI 1356047773, Allen Park, MI); Family Doc Clinic And Urgent Care PLLC (NPI 1104406289, Dearborn Heights, MI); Family Doc Urgent Care PLLC (NPI 1083294052, Dearborn Heights, MI); Epmg Of Michigan, P.C. (NPI 1386688992, Livonia, MI); Degara App, PLLC (NPI 1265976971, Lansing, MI); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407320559) · Data from the CMS NPPES public registry.