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

Individual provider Orthopaedic Surgery Physician · NPI 1619904240

Dr. Mohammed Ather Mirza, MD is an Orthopedic Surgery in Smithtown, New York. Qualified in 1966, 60 years ago. Practices with M. Ather Mirza PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
60
Licensed in
NY
In the registry since
2006
Specialties on file
2
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

290 E Main St Ste 200
Smithtown, NY 11787-2916
Phone: (631) 361-5302
Fax: (631) 361-8607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Hand Surgery Physician (primary) Taxonomy 207XS0106X · Licence 117684 (NY)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 117684 (NY)

Record details

NPI number1619904240
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 1966 (60 years in practice)
Group practice M. Ather Mirza Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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