AHMED IHSAN MIRZA FNP-C
NPI 1407320559
Nurse Practitioner - Family in Allen Park, MI

Active since January 11, 2019PECOS EnrolledAccepts Medicare Assignment
19100 GODDARD RD, ALLEN PARK, MI 48101(313) 763-0309(313) 771-9947 Get Directions Write a Review

NPPES record last updated: June 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2023, Jan 31, 2020, Jan 11, 2019 (3 updates tracked since 2019).

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

NPI1407320559
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameAHMED IHSAN MIRZACredential: FNP-C
Location Address19100 GODDARD RDAllen Park, MI 48101-1156
Mailing Address19100 Goddard RdAllen Park, MI 48101-1156 · (313) 763-0309 · Fax (313) 771-9947
Fax(313) 771-9947
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 11, 2019
Last NPPES UpdateJune 17, 20233 updates tracked since enumeration
NPPES CertifiedJune 17, 2023
NPI 1407320559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NH · 079537-23
19100 GODDARD RD, Allen Park, MI 48101

Accepted 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

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.

PECOS PAC ID840530341
PECOS Enrollment IDI20200716002927
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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
562 services43 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.
138 services57 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
103 services103 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
86 services59 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
61 services43 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
52 services12 patients

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, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician 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.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 3

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

Physician Assistant
19100 GODDARD RD
ALLEN PARK, MI 48101
Nurse Practitioner (Family)
19100 GODDARD RD
ALLEN PARK, MI 48101
Clinic/Center (Urgent Care)
19100 GODDARD RD
ALLEN PARK, MI 48101

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.

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 1 other insurer 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.