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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CRITICAL CARE MEDICINE SERVICES LLC
NPI 1588180673
Internal Medicine - Critical Care Medicine in Philadelphia, PA

Active since August 21, 2017
1930 S BROAD ST UNIT 12, PHILADELPHIA, PA 19145(267) 570-5200 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2026, Jun 16, 2018, Aug 21, 2017 (3 updates tracked since 2017).

About Critical Care Medicine Services Llc NPPES

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

CRITICAL CARE MEDICINE SERVICES LLC (NPI 1588180673) is a healthcare organization registered as a critical care medicine in Philadelphia, Pennsylvania and active in the NPI registry since August 2017. The organization lists Imran Azam Mirza, Owner, as its authorized official.

NPPES Registry Identity

NPI1588180673
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameCRITICAL CARE MEDICINE SERVICES LLC
Location Address1930 S BROAD ST UNIT 12Philadelphia, PA 19145-2328
Mailing AddressPo Box 69Mickleton, NJ 08056-0069
Phone(267) 570-5200
Organization SubpartNo
Authorized OfficialImran Azam MirzaOwner · (856) 381-9598
Enumeration DateAugust 21, 2017
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1588180673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in PA · MD431989
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
1930 S BROAD ST UNIT 12, Philadelphia, PA 19145
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Critical Care Medicine Services LLC's NPI number?

The NPI number for Critical Care Medicine Services LLC is 1588180673. It was assigned to this organization in the NPPES registry on August 21, 2017.

Where is Critical Care Medicine Services LLC located?

Critical Care Medicine Services LLC is located at 1930 S Broad St Unit 12, Philadelphia, PA 19145. The listed phone number is (267) 570-5200.

What is Critical Care Medicine Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

When was this NPI record last updated?

The NPPES record for Critical Care Medicine Services LLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.