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MAIRA MIRZA M.D
NPI 1528486636
Internal Medicine in Cambridge, MA

Active since April 04, 2014PECOS EnrolledAccepts Medicare Assignment
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139(617) 665-1000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 15, 2017 (3 updates tracked since 2017).

About Maira Mirza M.d NPPES

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

MAIRA MIRZA M.D (NPI 1528486636) is an individual internal medicine provider in Cambridge, Massachusetts, licensed in Massachusetts (270292) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1528486636
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMAIRA MIRZACredential: M.D
Location Address1493 CAMBRIDGE STCambridge, MA 02139-1047
Mailing Address1016 Revere Beach Pkwy Apt 204Chelsea, MA 02150-1460 · (734) 353-3068
Phone(617) 665-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 4, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1528486636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 270292
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1493 CAMBRIDGE ST, Cambridge, MA 02139
Open in Google Maps ↗

Secondary Practice Location 1

Location 16701 W Outer Dr Fl 4Detroit, MI 48235 · Phone (313) 966-3250

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Maira Mirza M.d 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 ID8921306952
PECOS Enrollment IDI20170707000955, I20221107002254
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 Reassignments

3

Medicare enrollment records show Maira Mirza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medical Management Associates PLLC
167 mi
Critical Care Medicine
701 N BROADWAY
Sleepy Hollow, NY 10591
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group
NPI 1194090878 (914) 366-3000
Pulmonary & Sleep Experts, PLLC
625 mi
Pulmonary Disease
6255 INKSTER RD STE 302
Garden City, MI 48135
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
NPI 1912751900 (734) 525-0319
Sound Inpatient Physicians-Michigan PLLC
701 mi
Internal Medicine
1100 E MICHIGAN AVE
Grayling, MI 49738
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
NPI 1639311996 (989) 348-5461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508
A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.
51 services50 patients
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.
47 services42 patients
Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth G0509
A telehealth consultation for critical care is a virtual meeting with a doctor for ongoing critical health issues. It involves a 50-minute session where the physician connects with the patient and other healthcare providers to discuss and manage the patient's condition. This method ensures safe, convenient care.
46 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services24 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
23 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Garden City Hospital

Acute Care Hospitals · Garden City, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230244
Location6245 Inkster RdGarden City, MI 48135 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ELIZABETH BLACK-SUCHY CCC-SLP
Speech-Language Pathologist
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 591-6767
ZACHARY OLIFF DO
Emergency Medicine
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
JACOB DYLAN WOLFE LICSW
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1646
SARAH-JO SANTILLI RN
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 272-6455
JULIE LYNNE MERCER
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 591-4212
TAIANA KATSARAS LICSW
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1185
ANGELA DE SILVA
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
RORY HAUSER
Registered Nurse (Neonatal, Low-Risk)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (802) 595-9868

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 Maira Mirza's NPI number?

The NPI number for Maira Mirza is 1528486636. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Where is Maira Mirza located?

Maira Mirza practices at 1493 Cambridge St, Cambridge, MA 02139. The listed phone number is (617) 665-1000.

What is Maira Mirza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maira Mirza enrolled in Medicare?

Yes. Maira 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 organizations bill Medicare for Maira Mirza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maira Mirza reassigns Medicare benefits to 3 organizations: Critical Care Medical Management Associates PLLC (Sleepy Hollow, NY), Pulmonary & Sleep Experts, PLLC (Garden City, MI) and Sound Inpatient Physicians-Michigan PLLC (Grayling, MI). Each 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 Maira Mirza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maira Mirza accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Maira Mirza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maira Mirza affiliated with any hospitals?

According to CMS data, Maira Mirza is affiliated with Lake Huron Medical Center and Garden City Hospital.

When was this NPI record last updated?

The NPPES record for Maira Mirza was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.