WAJAHAT MIRZA MD SC
NPI 1669658308
Internal Medicine - Cardiovascular Disease in Grayslake, IL
About Wajahat Mirza Md Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAJAHAT MIRZA MD SC (NPI 1669658308) is a healthcare organization registered as a cardiovascular disease in Grayslake, Illinois and active in the NPI registry since January 2008. The organization lists Wajahat Mirza, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wajahat Mirza Md Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wajahat Mirza MD Sc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Wajahat Mirza MD Sc's NPI number?
The NPI number for Wajahat Mirza MD Sc is 1669658308. It was assigned to this organization in the NPPES registry on January 11, 2008.
Where is Wajahat Mirza MD Sc located?
Wajahat Mirza MD Sc is located at 1170 E Belvidere Rd Suite 212, Grayslake, IL 60030. The listed phone number is (847) 543-6814.
What is Wajahat Mirza MD Sc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Wajahat Mirza MD Sc enrolled in Medicare?
Yes. Wajahat Mirza MD Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wajahat Mirza MD Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Wajahat Mirza MD Sc. 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.
When was this NPI record last updated?
The NPPES record for Wajahat Mirza MD Sc was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Wajahat Mirza Md Sc · NPI 1669658308
Cardiovascular Disease organization in Grayslake, Illinois. Organization record, active in the CMS NPPES registry since January 11, 2008.
## Identity
- **NPI:** 1669658308 (Entity type: Organization)
- **Enumerated:** January 11, 2008
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Wajahat Mirza, PRESIDENT
## Practice location
- **Address:** 1170 E BELVIDERE RD, SUITE 212, Grayslake, IL 60030-2061
- **Phone:** (847) 543-6814 · **Fax:** (847) 543-0787
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Cardiovascular Disease (Cardiology)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1669658308) · Data from the CMS NPPES public registry.