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

NPI Status: Active since February 15, 2007

Contact Information

1800 E INTERSTATE AVE STE B
BISMARCK, ND
ZIP 58503
Phone: (701) 323-6543
Fax: (701) 323-5492

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  • Individual
  • Male
  • Years of Experience 30
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About MICHAEL MIRZAI

This page provides the complete NPI Profile along with additional information for Michael Mirzai, a provider established in Bismarck, North Dakota with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry and more than 30 years of experience. He graduated from Meharry Medical College School Of Medicine in 1996. The healthcare provider is registered in the NPI registry with number 1508909540 assigned on February 2007. The practitioner's primary taxonomy code is 2084P0804X with license number 12502 (ND). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1508909540
Provider Name
DR. MICHAEL AV MIRZAI MD
Gender
Male
Entity Type
Individual
Location Address
1800 E INTERSTATE AVE STE B BISMARCK, ND 58503
Location Phone
(701) 323-6543
Location Fax
(701) 323-5492
Mailing Address
PO BOX 5074 SIOUX FALLS, SD 57117
Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year
1996
Is Sole Proprietor?
Yes
Enumeration Date
02-15-2007
Last Update Date
08-21-2020
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Location Map

Secondary Locations

  • 900 E Broadway Ave CHI/St. Alexius Medical Center
    Bismarck, ND 58501
    (701) 530-7353

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
12502
License State
ND
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

12616 (HI)
22084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

K-6777 (TX)
32084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

12502 (ND)
42084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

K-6777 (TX)
52084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

12616 (HI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1452924MEDICAID (05)ND 

Medicare Participation & PECOS Enrollment Status

Michael Mirzai is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Michael Mirzai is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2062664899

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220511001881

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Mirzai is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MAUI MEMORIAL MEDICAL CENTER221 MAHALANI STREET
WAILUKU, HI 96793
(808) 244-9056Acute Care Hospitals

Reviews for DR. MICHAEL AV MIRZAI MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508909540, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 1 + 8 + 0 + 1 + 8 + 5 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1508909540.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Social Worker (Clinical)
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Psychiatry & Neurology (Psychiatry)
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Nurse Practitioner
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Psychologist
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Nurse Practitioner (Psychiatric/Mental Health)
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Psychiatry & Neurology (Psychiatry)
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Psychologist
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503
Social Worker (Clinical)
1800 E INTERSTATE AVE STE B
BISMARCK, ND 58503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508909540, enumerated as an "individual" on February 15, 2007.

The provider is located at 1800 E INTERSTATE AVE STE B BISMARCK, ND 58503 and the phone number is (701) 323-6543.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Michael Mirzai is affiliated with: MAUI MEMORIAL MEDICAL CENTER.