TARIQ MIRZA M.D.
NPI 1639195654
Medical Genetics, Ph.D. Medical Genetics in Modesto, CA

Q: What is Tariq Mirza's NPI number?

The NPI number for Tariq Mirza is 1639195654. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Tariq Mirza's specialty?

The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

Q: When was this NPI record last updated?

The NPPES record for Tariq Mirza was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 14, 2006PECOS EnrolledAccepts Medicare Assignment

3609 OAKDALE RD, SUITE 5, MODESTO, CA 95357(209) 551-8888(209) 551-0412 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tariq Mirza M.d. NPPES

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

TARIQ MIRZA M.D. (NPI 1639195654) is an individual medical genetics, ph.d. medical genetics provider in Modesto, California, licensed in California (A84987) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1639195654

Entity TypeIndividualMale

Primary Taxonomy170100000X

Provider Legal NameTARIQ MIRZACredential: M.D.

Location Address3609 OAKDALE RD, SUITE 5Modesto, CA 95357-0718

Mailing Address3609 Oakdale Rd, Suite 5Modesto, CA 95357-0718 · (209) 551-8888 · Fax (209) 551-0412

Phone(209) 551-8888

Fax(209) 551-0412

Sole ProprietorYes

Medical School CMSOtherGraduated 1982

Enumeration DateJuly 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639195654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics, Ph.D. Medical GeneticsOther Service Providers

Taxonomy Code170100000X

License✔ Licensed in CA · A84987

Definition

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.

3609 OAKDALE RD, Modesto, CA 95357

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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

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

Tariq 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 ID1254324361

PECOS Enrollment IDI20040405001776

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

172 services24 patients

Other Providers at the Same Location NPPES 5

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

DR. BRENT A HILL D.C

Chiropractor

3609 OAKDALE RD, SUITE 5
MODESTO, CA 95357

Stanislaus County (209) 551-8888

DR. BRIAN J ANDERSON D.C.

Chiropractor

3609 OAKDALE RD, STE 5
MODESTO, CA 95357

Stanislaus County (209) 551-8888

BRENT A HILL CHIROPRACTIC INC

Chiropractor

3609 OAKDALE RD, SUITE 5
MODESTO, CA 95357

Stanislaus County (209) 551-8888

HILL CENTER FOR INTEGRATIVE MEDICINE INC

Chiropractor

3609 OAKDALE RD, SUITE 5
MODESTO, CA 95357

Stanislaus County (209) 551-8888

DR. JOE W CAPORGNO D.C.

Chiropractor

3609 OAKDALE RD, SIUTE 5
MODESTO, CA 95357

Stanislaus County (209) 551-8888

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 Tariq Mirza's NPI number?

The NPI number for Tariq Mirza is 1639195654. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Tariq Mirza located?

Tariq Mirza practices at 3609 Oakdale Rd Suite 5, Modesto, CA 95357. The listed phone number is (209) 551-8888.

What is Tariq Mirza's specialty?

The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

Is Tariq Mirza enrolled in Medicare?

Yes. Tariq 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.

When was this NPI record last updated?

The NPPES record for Tariq Mirza was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.