DR. MUZAFFAR MIRZA DDS
NPI 1710977939
Dentist in Chicago, IL

Active since October 27, 2005PECOS Enrolled
4501 S STATE ST, CHICAGO, IL 60609(773) 548-0600(773) 548-0740 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2022, Feb 26, 2016 (2 updates tracked since 2016).

About Dr. Muzaffar Mirza Dds NPPES

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

DR. MUZAFFAR MIRZA DDS (NPI 1710977939) is an individual dentist in Chicago, Illinois, licensed in Illinois (019019459) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710977939
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MUZAFFAR MIRZACredential: DDS
Location Address4501 S STATE STChicago, IL 60609-3758
Mailing Address4501 S State StChicago, IL 60609-3758 · (773) 548-0600 · Fax (773) 548-0740
Fax(773) 548-0740
Sole ProprietorYes
Enumeration DateOctober 27, 2005
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
NPI 1710977939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019019459
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4501 S STATE ST, Chicago, IL 60609

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Muzaffar Mirza Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60609 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Dentist
4501 S STATE ST
CHICAGO, IL 60609
Dentist
4501 S STATE ST
CHICAGO, IL 60609
Dentist (General Practice)
4501 S STATE ST
CHICAGO, IL 60609
Dentist
4501 S STATE ST
CHICAGO, IL 60609
Clinic/Center (Dental)
4501 S STATE ST
CHICAGO, IL 60609
Dentist
4501 S STATE ST
CHICAGO, IL 60609
Dentist
4501 S STATE ST
CHICAGO, IL 60609
Clinic/Center (Federally Qualified Health Center (FQHC))
4501 S STATE ST
CHICAGO, IL 60609

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 Muzaffar Mirza's NPI number?

The NPI number for Muzaffar Mirza is 1710977939. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Muzaffar Mirza located?

Muzaffar Mirza practices at 4501 S State St, Chicago, IL 60609. The listed phone number is (773) 548-0600.

What is Muzaffar Mirza's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Muzaffar Mirza enrolled in Medicare?

Yes. Muzaffar Mirza is registered in the Medicare PECOS enrollment system.

What insurance does Muzaffar Mirza accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 10 other insurers list Muzaffar Mirza 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 Muzaffar Mirza was last updated on May 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.