DR. MICHAEL AV MIRZAI MD
NPI 1508909540
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bismarck, ND

Q: What is Michael Mirzai's NPI number?

The NPI number for Michael Mirzai is 1508909540. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Q: What is Michael Mirzai's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mirzai was last updated on August 21, 2020. 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.

Active since February 15, 2007PECOS Enrolled

1800 E INTERSTATE AVE STE B, BISMARCK, ND 58503(701) 323-6543(701) 323-5492 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2020, Apr 19, 2017, Mar 25, 2017 (3 updates tracked since 2017).

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About Dr. Michael Av Mirzai Md NPPES

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

DR. MICHAEL AV MIRZAI MD (NPI 1508909540) is an individual child & adolescent psychiatry provider in Bismarck, North Dakota, licensed in North Dakota (12502) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Maui Memorial Medical Center, and maintains a secondary practice location in Bismarck.

NPPES Registry Identity

NPI1508909540

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. MICHAEL AV MIRZAICredential: MD

Location Address1800 E INTERSTATE AVE STE BBismarck, ND 58503-1566

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 323-6543

Fax(701) 323-5492

Sole ProprietorYes

Medical School CMSMeharry Medical College School Of MedicineGraduated 1996

Enumeration DateFebruary 15, 2007

Last NPPES UpdateAugust 21, 20203 updates tracked since enumeration

NPPES CertifiedAugust 21, 2020

✔ NPI 1508909540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in ND · 12502✔ Licensed in TX · K-6777✔ Licensed in HI · 12616

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 12616 (HI), K-6777 (TX), 12502 (ND)

1800 E INTERSTATE AVE STE B, Bismarck, ND 58503

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Secondary Practice Location 1

Location 1900 E Broadway Ave, CHI/St. Alexius Medical CenterBismarck, ND 58501-4520 · Phone (701) 530-7353 · Fax (701) 530-7319

Other Identifiers 1

Medicaid1452924ND

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Av Mirzai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062664899

PECOS Enrollment IDI20220511001881

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

52 services15 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services15 patients

Hospital Affiliations CMS Care Compare

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

Maui Memorial Medical Center

Acute Care Hospitals · Wailuku, HI

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number120002

Location221 Mahalani StreetWailuku, HI 96793 · Maui County

Birthing friendly

Other Providers at the Same Location NPPES 8

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

NICOLE L CROSS-HILLMAN PSY.D.

Psychologist