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BASIL FRANCIS MIRZA
NPI 1952100166
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 10, 2025PECOS Enrolled
5841 S MARYLAND AVE # MC6038, CHICAGO, IL 60637(773) 702-1860(773) 702-2883 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Mar 10, 2025 (2 updates tracked since 2025).

About Basil Francis Mirza NPPES

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

BASIL FRANCIS MIRZA (NPI 1952100166) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952100166
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBASIL FRANCIS MIRZA
Location Address5841 S MARYLAND AVE # MC6038Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-4503 · (773) 702-1150
Phone(773) 702-1860
Fax(773) 702-2883
Sole ProprietorNo
Enumeration DateMarch 10, 2025
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1952100166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5841 S MARYLAND AVE # MC6038, Chicago, IL 60637
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Basil Francis Mirza 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.

Other Providers at the Same Location NPPES 11

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

MARGARET KATHERINE GANNON MD
Urology
5841 S MARYLAND AVE # MC6038
CHICAGO, IL 60637
Cook County (773) 702-9758
CLARE MARIE DAY
Urology
5841 S MARYLAND AVE # MC6038
CHICAGO, IL 60637
Cook County (773) 702-1860
DR. NKIRUKA ODELUGA DO
Urology
5841 S MARYLAND AVE # MC6038
CHICAGO, IL 60637
Cook County (773) 702-1860
ERIN MARRA HURLEY MD
Urology
5841 S MARYLAND AVE # MC6038
CHICAGO, IL 60637
Cook County (773) 702-1860
JUAN PEDRO RAMIREZ
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE # MC6038
CHICAGO, IL 60637
Cook County (773) 702-1860
DAVID JACOB NUSBAUM
Urology
5841 S MARYLAND AVE # MC6038
CHICAGO, IL 60637
Cook County (773) 702-9757
DEVKI SHUKLA MD
Urology
5841 S MARYLAND AVE # MC6038
CHICAGO, IL 60637
Cook County (773) 702-9758
ADRIANNA JIAYING LEE MD
Urology
5841 S MARYLAND AVE # MC6038
CHICAGO, IL 60637
Cook County (773) 702-9759

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 Basil Mirza's NPI number?

The NPI number for Basil Mirza is 1952100166. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Basil Mirza located?

Basil Mirza practices at 5841 S Maryland Ave # Mc6038, Chicago, IL 60637. The listed phone number is (773) 702-1860.

What is Basil Mirza's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Basil Mirza enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Basil Mirza was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.