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SANAA MIRZA MD
NPI 1487408605
Student in an Organized Health Care Education/Training Program in Madisonville, KY

Active since April 15, 2024PECOS EnrolledAccepts Medicare Assignment
200 CLINIC DR, MADISONVILLE, KY 42431(270) 825-6680 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sanaa Mirza Md NPPES

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

SANAA MIRZA MD (NPI 1487408605) is an individual student in an organized health care education/training program in Madisonville, Kentucky and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Deaconess Madisonville, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1487408605
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSANAA MIRZACredential: MD
Location Address200 CLINIC DRMadisonville, KY 42431-1661
Mailing Address900 Hospital DrMadisonville, KY 42431-1644 · (270) 825-6680
Phone(270) 825-6680
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 15, 2024
NPPES CertifiedApril 15, 2024
✔ NPI 1487408605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 CLINIC DR, Madisonville, KY 42431
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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

Sanaa Mirza 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 ID2264948793
PECOS Enrollment IDI20250722002690
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 Sanaa Mirza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Deaconess Medical Group Inc
Same address
Rural Health
200 CLINIC DR FL 5
Madisonville, KY 42431
  • Reassigned Medicare billing, Kentucky enrollment
  • 325 clinicians in this Medicare group
NPI 1306420575 (270) 825-7214

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.

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins 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.

HEATHER RAE PENDLEY
Case Manager/Care Coordinator
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
KRISTIN WICKHAM M.D.
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200
OHIO VALLEY NEUROLOGY LLC
Psychiatry & Neurology (Neurology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6601
DR. TIMI A AKINS MD
Internal Medicine (Nephrology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5220
JAMES CRISS YELTON M.D.
Orthopaedic Surgery
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 824-6655
TEHMINA KHAN MD
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6690
RACHEL ELIZABETH VAUGHAN
Counselor
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
BRENDA L. BRUCE KCSA
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200

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 Sanaa Mirza's NPI number?

The NPI number for Sanaa Mirza is 1487408605. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Sanaa Mirza located?

Sanaa Mirza practices at 200 Clinic Dr, Madisonville, KY 42431. The listed phone number is (270) 825-6680.

What is Sanaa Mirza's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sanaa Mirza enrolled in Medicare?

Yes. Sanaa 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 organization bills Medicare for Sanaa Mirza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanaa Mirza reassigns Medicare benefits to Baptist Health Deaconess Medical Group Inc (Madisonville, KY). The 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 Sanaa Mirza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sanaa Mirza affiliated with any hospitals?

According to CMS data, Sanaa Mirza is affiliated with Baptist Health Deaconess Madisonville.

When was this NPI record last updated?

The NPPES record for Sanaa Mirza was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.