NAOMI FERDOUS MIRZA MD
NPI 1619506672
Internal Medicine in Clackamas, OR

Q: What is Naomi Mirza's NPI number?

The NPI number for Naomi Mirza is 1619506672. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Naomi Mirza's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Naomi Mirza was last updated on October 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment

9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(800) 813-2000 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2024, May 7, 2020, Apr 2, 2020 (3 updates tracked since 2020).

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About Naomi Ferdous Mirza Md NPPES

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

NAOMI FERDOUS MIRZA MD (NPI 1619506672) is an individual internal medicine provider in Clackamas, Oregon, licensed in Oregon (MD217549) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619506672

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameNAOMI FERDOUS MIRZACredential: MD

Location Address9800 SE SUNNYSIDE RDClackamas, OR 97015-9750

Mailing Address9800 Se Sunnyside RdClackamas, OR 97015-9750 · (800) 813-2000

Phone(800) 813-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 2, 2020

Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration

NPPES CertifiedOctober 21, 2025

✔ NPI 1619506672 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 OR · MD217549

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

9800 SE SUNNYSIDE RD, Clackamas, OR 97015

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Naomi Ferdous Mirza Md 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 ID9234549601

PECOS Enrollment IDI20241217000506, I20241227002353

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

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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.

ASHLEY R JORDAN

Nurse Practitioner (Family)