Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Baila Mir, PA

Individual provider Physician Assistant · NPI 1154206308

Baila Mir, PA is a Physician Assistant in Riverside, Rhode Island. Qualified in 2025, 1 year ago. Practices with East Bay Community Action Program, a 36-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
1
Licensed in
RI
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

100 Bullocks Point Ave
Riverside, RI 02915-5351
Phone: (401) 437-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01823 (RI)

Record details

NPI number1154206308
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 7, 2025
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice East Bay Community Action Program — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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