Faraz Ali Mirza, MS, OTR/L - Medicare Occupational Therapist in Chicago, IL

Faraz Ali Mirza, MS, OTR/L is a medicare enrolled "Occupational Therapist" provider in Chicago, Illinois. His current practice location is 3233 W Addison St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 478-0496.

Faraz Ali Mirza is licensed to practice in Illinois (license number 056.015912) 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 1952153058.

Contact Information

Faraz Ali Mirza, MS, OTR/L
3233 W Addison St,
Chicago, IL 60618-4328
(773) 478-0496
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameFaraz Ali Mirza
GenderMale
SpecialityOccupational Therapist
Location3233 W Addison St, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952153058
  • Provider Enumeration Date: 04/02/2024
  • Last Update Date: 10/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6800320458
  • Enrollment ID: I20241105003638

Medical Identifiers

Medical identifiers for Faraz Ali Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952153058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 056.015912 (Illinois)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. Faraz Ali Mirza allows following entities to bill medicare on his behalf.
Provider NameAthletic And Therapeutic Institute Of Naperville, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1023129681
PECOS PAC ID: 8325014020
Enrollment ID: O20040903000494

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. Faraz 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 AddressPractice Location Address
Faraz Ali Mirza, MS, OTR/L
790 Remington Blvd,
Bolingbrook, IL 60440-4909

Ph: (866) 370-8206
Faraz Ali Mirza, MS, OTR/L
3233 W Addison St,
Chicago, IL 60618-4328

Ph: (773) 478-0496

Reviews and Comments


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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.