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

Dr. Ezra David Mirvish, MD

Individual provider Dermatology Physician · NPI 1255697272

Dr. Ezra David Mirvish, MD is a Dermatology in Monroeville, Pennsylvania. Graduated from University of Pittsburgh School of Medicine in 2012, 14 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Trained at
University of Pittsburgh School of Medicine
Licensed in
PA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2790 Mosside Blvd Ste 720
Monroeville, PA 15146-2757
Phone: (412) 372-2770
Fax: (412) 372-4656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2790 Mosside Blvd Ste 705, Monroeville, PA 15146-2757 — (412) 372-2770

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD456947 (PA)

Record details

NPI number1255697272
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2012
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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