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MARYAM MIRZAAGHA C.M
NPI 1417209651
Midwife in Brooklyn, NY

Active since October 12, 2012PECOS EnrolledAccepts Medicare Assignment
121 DEKALB AVE, BROOKLYN, NY 11201(718) 250-8000 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maryam Mirzaagha C.m NPPES

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

MARYAM MIRZAAGHA C.M (NPI 1417209651) is an individual midwife in Brooklyn, New York, licensed in New York (F001482) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1417209651
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameMARYAM MIRZAAGHACredential: C.M
Location Address121 DEKALB AVEBrooklyn, NY 11201-5425
Mailing Address121 Dekalb AveBrooklyn, NY 11201-5425 · (718) 250-8000
Phone(718) 250-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 12, 2012
Last NPPES UpdateAugust 13, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1417209651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in NY · F001482
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
121 DEKALB AVE, Brooklyn, NY 11201
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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

Maryam Mirzaagha C.m 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 ID7315161346
PECOS Enrollment IDI20140613001437
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 Maryam Mirzaagha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nyu Langone Hospitals
3.6 mi
Internal Medicine
530 1ST AVE
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 616 clinicians in this Medicare group
NPI 1790975944 (212) 460-0110
Urban Health Plan, Inc.
7.6 mi
Federally Qualified Health Center (FQHC)
3716 108TH ST
Corona, NY 11368
  • Reassigned Medicare billing, New York enrollment
  • 197 clinicians in this Medicare group
NPI 1710125141 (718) 651-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

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.

EVANGELIA DAVANOS PHARMD, CNSC
Pharmacist (Nutrition Support)
121 DEKALB AVE, B231
BROOKLYN, NY 11201
Kings County (718) 250-8211
MR. KWONG LAU
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8000
SAISREE KONDA M.D.
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8000
DR. UZOMA N UKOMADU M.D.
Orthopaedic Surgery (Hand Surgery)
121 DEKALB AVE, ORTHOSUITE
BROOKLYN, NY 11201
Kings County (718) 250-7700
DR. MARIANA AVELAR FALCONE DE MELO
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE, HOUSE STAFF ADMINISTRATION
BROOKLYN, NY 11201
Kings County (718) 250-6604
SIMONE CARDOSO PT,DPT
Physical Therapist
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8143
MARIE METILAINE ALEXANDRE NURSE PRACTITIONER
Nurse Practitioner (Family)
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8026
DR. JESSIE COLTER FULLMER MD
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8000

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 Maryam Mirzaagha's NPI number?

The NPI number for Maryam Mirzaagha is 1417209651. It was assigned to this individual provider in the NPPES registry on October 12, 2012.

Where is Maryam Mirzaagha located?

Maryam Mirzaagha practices at 121 Dekalb Ave, Brooklyn, NY 11201. The listed phone number is (718) 250-8000.

What is Maryam Mirzaagha's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Maryam Mirzaagha enrolled in Medicare?

Yes. Maryam Mirzaagha 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 Maryam Mirzaagha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Mirzaagha reassigns Medicare benefits to 2 organizations: Nyu Langone Hospitals (New York, NY) and Urban Health Plan, Inc. (Corona, 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 Maryam Mirzaagha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Maryam Mirzaagha affiliated with any hospitals?

According to CMS data, Maryam Mirzaagha is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Maryam Mirzaagha was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.