Dr Imran Humayun Mirza, MD - Medicare Family Practice in Daytona Beach, FL

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Dr Imran Humayun Mirza, MD is a medicare enrolled "Hospitalist" physician in Daytona Beach, Florida. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Oak Grove Physician Services Pa, Hospital Medicine Services Of Fl, Llc and his current practice location is 303 N Clyde Morris Blvd, Daytona Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 425-4000.

Dr Imran Humayun Mirza is licensed to practice in Florida (license number ME113910) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558500587.

Contact Information

Dr Imran Humayun Mirza, MD
303 N Clyde Morris Blvd,
Daytona Beach, FL 32114-2700
(386) 425-4000
Not Available

Map and Direction




Physician's Profile

Full NameDr Imran Humayun Mirza
GenderMale
SpecialityFamily Practice
Experience16 Years
Location303 N Clyde Morris Blvd, Daytona Beach, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Imran Humayun Mirza graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1558500587
  • Provider Enumeration Date: 02/15/2009
  • Last Update Date: 01/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5890947600
  • Enrollment ID: I20150126001852

Medical Identifiers

Medical identifiers for Dr Imran Humayun Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558500587NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME113910 (Florida)Secondary
207Q00000XFamily Medicine 79899 (Georgia)Secondary
208M00000XHospitalist P8055 (Texas)Secondary
208M00000XHospitalist 01071271A (Indiana)Secondary
208M00000XHospitalist ME113910 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson Health SystemMiami, FLHospital
St Lucie Medical CenterPort saint lucie, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oak Grove Physician Services Pa862842152663
Hospital Medicine Services Of Fl, Llc9234596743435

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. Dr Imran Humayun Mirza allows following entities to bill medicare on his behalf.
Entity NameHalifax Healthcare Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245283530
PECOS PAC ID: 1254238090
Enrollment ID: O20031218000443
Entity NameNchmd Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831120195
PECOS PAC ID: 9436139565
Enrollment ID: O20040721000254
Entity NameInpatient Consultants Of Florida, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396795597
PECOS PAC ID: 4789614785
Enrollment ID: O20050819000018
Entity NameAdventist Health System-sunbelt Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083692594
PECOS PAC ID: 0749232445
Enrollment ID: O20080401000861
Entity NameAdventist Health System-sunbelt Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578725941
PECOS PAC ID: 0749232445
Enrollment ID: O20080726000012
Entity NameCogent Healthcare Of Jacksonville, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124252333
PECOS PAC ID: 1759435944
Enrollment ID: O20090824000043
Entity NameFlorida Hospital Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174955256
PECOS PAC ID: 2365679057
Enrollment ID: O20131231000600
Entity NamePioneer Medical Group Pl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710315775
PECOS PAC ID: 8224266655
Enrollment ID: O20140110000843
Entity NameHospital Physician Services Of Florida Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558718635
PECOS PAC ID: 7012201965
Enrollment ID: O20160816000476
Entity NameCoral Springs Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134673767
PECOS PAC ID: 7719268333
Enrollment ID: O20161219002533
Entity NameSound Physicians Of Florida Iv, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740633635
PECOS PAC ID: 6002198082
Enrollment ID: O20170127000352
Entity NameFort Lauderdale Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497209027
PECOS PAC ID: 0446535280
Enrollment ID: O20170318000048
Entity NameLake Wales Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164902797
PECOS PAC ID: 8426390964
Enrollment ID: O20190502000025
Entity NameHospital Medicine Services Of Fl, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710684857
PECOS PAC ID: 9234596743
Enrollment ID: O20230526001457
Entity NameOak Grove Physician Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689446700
PECOS PAC ID: 8628421526
Enrollment ID: O20240126002791

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. Dr Imran Humayun 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 AddressPractice Location Address
Dr Imran Humayun Mirza, MD
4521 Pga Blvd, Pmb 267,
Palm Beach Gardens, FL 33418

Ph: (716) 601-9178		Dr Imran Humayun Mirza, MD
303 N Clyde Morris Blvd,
Daytona Beach, FL 32114-2700

Ph: (386) 425-4000

Reviews and Comments


Hospitalist Doctors in Daytona Beach, FL

Mirela Cosma, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-226-4542    Fax: 386-239-2354
Abednego Chibungu, M.D
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-425-4542    Fax: 386-425-7705
Dr. Shahabuddin Ahmed, D.O
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-226-4542    Fax: 386-239-2354
Camille Mazal, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 303 N. Clyde Morris Blvd., Daytona Beach, FL 32114
Phone: 386-226-4542    Fax: 386-239-2354
Michael J. Sayess, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-226-4542    Fax: 386-239-2354
Daniel Peterson,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-425-2872    
Dr. Eugene Vitaly Bednov, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-425-1994    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.