| Jamshid Mirzaei, MD | |
|
5880 S Hospital Dr, Globe, AZ 85501-9447 | |
| (303) 999-8179 | |
| (702) 453-5741 |
| Full Name | Jamshid Mirzaei |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 5880 S Hospital Dr, Globe, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649306523 | NPI | - | NPPES |
| P01378874 | Other | CO | RAIL ROAD MEDICARE |
| 00201057 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DR.0049409 (Colorado) | Secondary |
| 208M00000X | Hospitalist | MD60036851 (Washington) | Secondary |
| 208M00000X | Hospitalist | DR.0049409 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Healthone Rose | Denver, CO | Hospital |
| Lourdes Medical Center | Pasco, WA | Hospital |
| Hca Healthone Swedish | Englewood, CO | Hospital |
| St. Mary's Hospital | Tucson, AZ | Hospital |
| Cobre Valley Regional Medical Center | Globe, AZ | Hospital |
| Lourdes Health | Pasco, WA | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tucson Physician Group Holdings Llc | 0547560070 | 200 |
| Hospital Medicine Services Of Colorado, Llc | 9133631351 | 73 |
| Entity Name | Tucson Physician Group Holdings LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356726939 PECOS PAC ID: 0547560070 Enrollment ID: O20151204001261 |
| Entity Name | Jamshid Mirzaei MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639504335 PECOS PAC ID: 9133353097 Enrollment ID: O20201028002564 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamshid Mirzaei, MD Po Box 202378, Denver, CO 80220-8378 Ph: (303) 999-8179 | Jamshid Mirzaei, MD 5880 S Hospital Dr, Globe, AZ 85501-9447 Ph: (303) 999-8179 |