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

Active since April 15, 2024PECOS Enrolled
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: August 16, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sanaa Mirza Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Case Manager/Care Coordinator
200 CLINIC DR
MADISONVILLE, KY 42431
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Psychiatry & Neurology (Neurology)
200 CLINIC DR
MADISONVILLE, KY 42431
Internal Medicine (Nephrology)
200 CLINIC DR
MADISONVILLE, KY 42431
Orthopaedic Surgery
200 CLINIC DR
MADISONVILLE, KY 42431
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Counselor
200 CLINIC DR
MADISONVILLE, KY 42431
200 CLINIC DR
MADISONVILLE, KY 42431

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 enrollment system.

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.