Ali Mirza, MD in La Jolla, CA - Medicare Internal Medicine

Ali Mirza, MD is a medicare enrolled "Internal Medicine" physician in La Jolla, California. His current practice location is 9350 Campus Point Dr, Suite 2b Mail Code 0975, La Jolla, California. You can reach out to his office (for appointments etc.) via phone at (858) 657-8440.

Ali Mirza is licensed to practice in California (license number C54460) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497711626.

Contact Information

	Ali Mirza, MD
	9350 Campus Point Dr, Suite 2b Mail Code 0975, La Jolla, CA 92037-1300
	(858) 657-8440
	Not Available

Map and Direction

Physician's Profile

Full Name	Ali Mirza
Gender	Male
Speciality	Internal Medicine
Location	9350 Campus Point Dr, La Jolla, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497711626
Provider Enumeration Date: 04/25/2006
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0345210746
Enrollment ID: I20141103002322

Medical Identifiers

Medical identifiers for Ali Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497711626	NPI	-	NPPES
1497711626	Medicaid	CA
2613541	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	35086775 (Ohio)	Secondary
207R00000X	Internal Medicine	C54460 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ali Mirza allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ali Mirza is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ali Mirza, MD 200 W Arbor Dr, Mc 0840 Ucsd Medical Center Hillcrest, San Diego, CA 92103-9000 Ph: (858) 657-8440	Ali Mirza, MD 9350 Campus Point Dr, Suite 2b Mail Code 0975, La Jolla, CA 92037-1300 Ph: (858) 657-8440

Reviews and Comments

Internal Medicine Doctors in La Jolla, CA

Dr. John Sturdivant Andrews, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1223 Via Barranca, La Jolla, CA 92037 Phone: 858-775-1976
Dr. Mark C Adrian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, Suite 355, La Jolla, CA 92037 Phone: 858-202-0011
Dr. Erminia M. Guarneri, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-3330 Fax: 858-784-5933
Dr. Eric Hong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9834 Genesee Ave, Suite 300, La Jolla, CA 92037 Phone: 858-824-2900 Fax: 858-824-2910
Katrina Deleon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-6158
Abhishek Gadre, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 858-657-7118
Mira Maria John, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 800-926-8273

Ali Mirza, MD - Medicare Internal Medicine in La Jolla, CA