IQBAL M MIRZA MD PROFESSIONAL CORPORATION
NPI 1417222985
Anesthesiology in Los Gatos, CA
About Iqbal M Mirza Md Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IQBAL M MIRZA MD PROFESSIONAL CORPORATION (NPI 1417222985) is a healthcare organization registered as an anesthesiology in Los Gatos, California and active in the NPI registry since March 2012. The organization lists Iqbal M Mirza, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Iqbal M Mirza Md Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Iqbal M Mirza MD Professional Corporation, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (13)
Paradise, CA 95969
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Iqbal M Mirza MD Professional Corporation's NPI number?
The NPI number for Iqbal M Mirza MD Professional Corporation is 1417222985. It was assigned to this organization in the NPPES registry on March 17, 2012.
Where is Iqbal M Mirza MD Professional Corporation located?
Iqbal M Mirza MD Professional Corporation is located at 555 Knowles Dr 115, Los Gatos, CA 95032. The listed phone number is (408) 655-2340.
What is Iqbal M Mirza MD Professional Corporation's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Iqbal M Mirza MD Professional Corporation enrolled in Medicare?
Yes. Iqbal M Mirza MD Professional Corporation is registered in the Medicare PECOS enrollment system.
When is Iqbal M Mirza MD Professional Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Iqbal M Mirza MD Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians, all in Anesthesiology, reassign their Medicare billing to Iqbal M Mirza MD Professional Corporation. A 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 the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Iqbal M Mirza MD Professional Corporation was last updated on March 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Iqbal M Mirza Md Professional Corporation · NPI 1417222985
Anesthesiology organization in Los Gatos, California. Organization record, active in the CMS NPPES registry since March 17, 2012.
## Identity
- **NPI:** 1417222985 (Entity type: Organization)
- **Enumerated:** March 17, 2012
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Organization subpart:** No
- **Authorized official:** Iqbal Mirza, PRESIDENT/OWNER
## Practice location
- **Address:** 555 KNOWLES DR, 115, Los Gatos, CA 95032-1549
- **Phone:** (408) 655-2340 · **Fax:** (408) 741-8802
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 13 clinicians (Anesthesiology) reassign Medicare billing to this organization (form CMS-855R); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1417222985) · Data from the CMS NPPES public registry.