SHAHIDA BINTI MIZAN MD
NPI 1972171080
Student in an Organized Health Care Education/Training Program in Baltimore, MD
NPI Status: Active since June 15, 2021
Contact Information
UNIVERSITY OF MARYLAND MEDICAL CENTER GME OFFICE
110 SOUTH PACA STREET, 8TH FLOOR
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-0996
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About SHAHIDA MIZAN
This page provides the complete NPI Profile along with additional information for Shahida Mizan, a primary care provider established in Baltimore, Maryland with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1972171080 assigned on June 2021. The practitioner's primary taxonomy code is 390200000X with license number D0102954 (MD). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1972171080
- Provider Name
- SHAHIDA BINTI MIZAN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- UNIVERSITY OF MARYLAND MEDICAL CENTER GME OFFICE 110 SOUTH PACA STREET, 8TH FLOOR BALTIMORE, MD 21201
- Location Phone
- (410) 328-0996
- Mailing Address
- UNIVERSITY OF MARYLAND MEDICAL CENTER GME OFFICE 110 SOUTH PACA STREET, 8TH FLOOR BALTIMORE, MD 21201
- Mailing Phone
- (410) 328-0996
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-15-2021
- Last Update Date
- 07-02-2025
- Code Navigator
A primary care provider (PCP) like Shahida Mizan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- VCUHS Dept of Psychiatry Residency/Fellowship, 980710 1250 E. Marshall Street
Richmond, VA 23298
(804) 828-7912
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- D0102954
- License State
- MD
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | 0101279032 (VA) |
Medicare Participation & PECOS Enrollment Status
Shahida Mizan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1972171080, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972171080, enumerated as an "individual" on June 15, 2021.
The provider is located at UNIVERSITY OF MARYLAND MEDICAL CENTER GME OFFICE 110 SOUTH PACA STREET, 8TH FLOOR BALTIMORE, MD 21201 and the phone number is (410) 328-0996.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
