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SHAZIA MIRZA M.D.
NPI 1972547040
Internal Medicine in Kenosha, WI

Active since June 16, 2006PECOS Enrolled
1020 35TH ST, KENOSHA, WI 53140(262) 652-3500(262) 925-8353 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shazia Mirza M.d. NPPES

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

SHAZIA MIRZA M.D. (NPI 1972547040) is an individual internal medicine provider in Kenosha, Wisconsin, licensed in Illinois (036-115477) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972547040
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHAZIA MIRZACredential: M.D.
Location Address1020 35TH STKenosha, WI 53140-1902
Mailing Address1020 35th StKenosha, WI 53140-1902 · (262) 652-3500 · Fax (262) 925-8353
Phone(262) 652-3500
Fax(262) 925-8353
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateApril 25, 2008
✔ NPI 1972547040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-115477
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1020 35TH ST, Kenosha, WI 53140
Open in Google Maps ↗

Other Identifiers 8

Other1069731001WI · Diamond Provider Id
Medicare PIN000432480WI
Other$$$$$$$$$002WI · Blue Cross Blue Shield
Other83832WI · Childrens Comm. Health
Other83832WI · Dean S.e. Medicaid
Other0622304Ecfmg Number
Medicare UPINI65779WI
Medicaid34738600WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shazia Mirza M.d. 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 53140 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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 14

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

ALI J KILIC MD
Family Medicine
1020 35TH ST
KENOSHA, WI 53140
Kenosha County (262) 652-3500
GENESIS MEDICAL CENTER OF KENOSHA, S.C.
Internal Medicine
1020 35TH ST
KENOSHA, WI 53140
Kenosha County (262) 652-3500
AURORA MEDICAL GROUP INC
Durable Medical Equipment & Medical Supplies
1020 35TH ST, STE 100
KENOSHA, WI 53140
Kenosha County (262) 652-3500
DR. CHARLES SANTILUKKA D.O.
Family Medicine
1020 35TH ST, SUITE 160
KENOSHA, WI 53140
Kenosha County (262) 652-3500
MATTHEW KAUFMANN DPT
Physical Therapist
1020 35TH ST
KENOSHA, WI 53140
Kenosha County (262) 652-3500
FARAH SALAHUDDIN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1020 35TH ST
KENOSHA, WI 53140
Kenosha County (262) 652-3500
NISHTHABEN R PATEL PT
Physical Therapist
1020 35TH ST
KENOSHA, WI 53140
Kenosha County (262) 652-3500
RICHARD GESKE
Physical Therapist
1020 35TH ST
KENOSHA, WI 53140
Kenosha County (262) 925-1480

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 Shazia Mirza's NPI number?

The NPI number for Shazia Mirza is 1972547040. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Shazia Mirza located?

Shazia Mirza practices at 1020 35th St, Kenosha, WI 53140. The listed phone number is (262) 652-3500.

What is Shazia Mirza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shazia Mirza enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shazia Mirza was last updated on April 25, 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.