JAMSHID MIRZAEI MD PC
NPI 1639504335
Hospitalist in Englewood, CO

Active since September 12, 2013
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113(702) 453-3799(702) 453-5741 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2021, Sep 17, 2019 (2 updates tracked since 2019).

About Jamshid Mirzaei Md Pc NPPES

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

JAMSHID MIRZAEI MD PC (NPI 1639504335) is a healthcare organization registered as a hospitalist in Englewood, Colorado and active in the NPI registry since September 2013. The organization maintains a secondary practice location in Pasco and lists Lori Labrecque, Accts Mgr, as its authorized official.

NPPES Registry Identity

NPI1639504335
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameJAMSHID MIRZAEI MD PC
Location Address501 E HAMPDEN AVEEnglewood, CO 80113-2702
Mailing AddressPo Box 202378Denver, CO 80220-8378 · (702) 453-3799 · Fax (702) 453-5741
Fax(702) 453-5741
Organization SubpartNo
Authorized OfficialLori LabrecqueAccts Mgr · (702) 453-3799
Enumeration DateSeptember 12, 2013
Last NPPES UpdateAugust 18, 20212 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1639504335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in CO · 49409✔ Licensed in WA · MD60036851
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
501 E HAMPDEN AVE, Englewood, CO 80113

Secondary Practice Location 1

Location 1520 N 4th AvePasco, WA 99301-5257 · Phone (509) 547-7704

Other Identifiers 2

Other49409CO · Co License
OtherMD60036851WA · Wa License

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamshid Mirzaei Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20131008000716Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jamshid Mirzaei MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1649306523
5880 S HOSPITAL DR
Globe, AZ 85501
(303) 999-8179
✔ PECOS✔ Accepts Medicare539 mi

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

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 Jamshid Mirzaei MD PC's NPI number?

The NPI number for Jamshid Mirzaei MD PC is 1639504335. It was assigned to this organization in the NPPES registry on September 12, 2013.

Where is Jamshid Mirzaei MD PC located?

Jamshid Mirzaei MD PC is located at 501 E Hampden Ave, Englewood, CO 80113. The listed phone number is (702) 453-3799.

What is Jamshid Mirzaei MD PC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jamshid Mirzaei MD PC enrolled in Medicare?

Yes. Jamshid Mirzaei MD PC is registered in the Medicare PECOS enrollment system.

When is Jamshid Mirzaei MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jamshid Mirzaei MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jamshid Mirzaei MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jamshid Mirzaei MD PC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jamshid Mirzaei MD PC 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.

When was this NPI record last updated?

The NPPES record for Jamshid Mirzaei MD PC was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.