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MUHAMMAD ZAIN MIRZA M.D.
NPI 1962744391
Orthopaedic Surgery in Irving, TX

Active since March 24, 2013PECOS EnrolledAccepts Medicare Assignment
6161 N HIGHWAY 161 STE 120, IRVING, TX 75038(214) 894-4530(214) 894-4531 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2025, Jul 17, 2023, Sep 27, 2019 and 1 more (4 updates tracked since 2018).

About Muhammad Zain Mirza M.d. NPPES

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

MUHAMMAD ZAIN MIRZA M.D. (NPI 1962744391) is an individual orthopaedic surgery provider in Irving, Texas, licensed in Texas (T4984) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1962744391
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMUHAMMAD ZAIN MIRZACredential: M.D.
Location Address6161 N HIGHWAY 161 STE 120Irving, TX 75038-2220
Mailing Address3465 National Dr Ste 105Plano, TX 75025-1095 · (214) 894-4530 · Fax (214) 894-4531
Phone(214) 894-4530
Fax(214) 894-4531
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2013
Enumeration DateMarch 24, 2013
Last NPPES UpdateFebruary 11, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1962744391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · T4984
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License T4984 (TX)
6161 N HIGHWAY 161 STE 120, Irving, TX 75038
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Secondary Practice Locations 4

Location 15550 Warren PkwyFrisco, TX 75034-7398 · Phone (214) 894-4530 · Fax (214) 894-4531
Location 2400 W Ih 635 Fwy Ste 300Irving, TX 75063-3717 · Phone (214) 894-4530 · Fax (214) 894-4531
Location 33465 National Dr Ste 105Plano, TX 75025-1095 · Phone (214) 894-4530 · Fax (214) 894-4531
Location 417110 Dallas Pkwy Ste 105Dallas, TX 75248-1146 · Phone (214) 894-4530 · Fax (214) 894-4531

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Muhammad Zain 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 ID446530802
PECOS Enrollment IDI20220420001456
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Muhammad Mirza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Star Orthopedics And Sports Medicine PLLC
19 mi
Orthopaedic Surgery
6700 DALLAS PKWY STE 100
Frisco, TX 75034
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
NPI 1891200168 (469) 850-0680
Texas Spine Group PLLC
20 mi
Orthopaedic Surgery
3465 NATIONAL DR STE 105
Plano, TX 75025
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1396497822 (214) 894-4530

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

Areas of Expertise CMS Part B claims 8

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.
200 services115 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
71 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
67 services67 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
29 services23 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
25 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Centennial

Acute Care Hospitals · Frisco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450885
Location12505 Lebanon RoadFrisco, TX 75035 · Collin County
Emergency services Birthing friendly

Methodist Mckinney Hospital

Acute Care Hospitals · Mckinney, TX
OwnershipProprietary
CMS Certification Number670069
Location8000 W Eldorado Pkwy Bldg C Suite CMckinney, TX 75070 · Collin County
Emergency services

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

Baylor Scott And White Surgical Hospital At Sherma

Acute Care Hospitals · Sherman, TX
2/5 CMS rating
OwnershipPhysician
CMS Certification Number670076
Location3601 Calais DriveSherman, TX 75090 · Grayson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75038 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

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 Muhammad Mirza's NPI number?

The NPI number for Muhammad Mirza is 1962744391. It was assigned to this individual provider in the NPPES registry on March 24, 2013.

Where is Muhammad Mirza located?

Muhammad Mirza practices at 6161 N Highway 161 Ste 120, Irving, TX 75038. The listed phone number is (214) 894-4530.

What is Muhammad Mirza's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Muhammad Mirza enrolled in Medicare?

Yes. Muhammad 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.

Which organizations bill Medicare for Muhammad Mirza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Mirza reassigns Medicare benefits to 2 organizations: Star Orthopedics And Sports Medicine PLLC (Frisco, TX) and Texas Spine Group PLLC (Plano, TX). Each 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 Muhammad Mirza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Muhammad Mirza accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and Oscar Insurance Company list Muhammad 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.

Is Muhammad Mirza affiliated with any hospitals?

According to CMS data, Muhammad Mirza is affiliated with Medical City Plano, Baylor Scott & White Medical Center - Centennial, Methodist Mckinney Hospital, Methodist Hospital For Surgery and Baylor Scott And White Surgical Hospital At Sherma.

When was this NPI record last updated?

The NPPES record for Muhammad Mirza was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.