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Active NPI 1558970558 Individual Practitioner Male Practitioner

Imran Ahmed Mridha , PA

Physician Assistant • Fairfield, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Imran Mridha, PA is a certified Physician Assistant practicing in Fairfield, CT. With approximately 6 years of clinical experience since completing medical education in 2020, Imran Mridha delivers high-quality medical care to the local community at 75 KINGS HIGHWAY CUTOFF STE 3A.

Imran Mridha is affiliated with Pain And Spine Specialists Of Connecticut Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

75 Kings Highway Cutoff Ste 3a

Fairfield, CT 068245340

Telephone 2037437264
Fax 2037923920
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fairfield, CT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
46 Specialists

Practicing in Fairfield, CT (2065 Statewide)

Telehealth Adoption Rate
23.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mridha (6 Years) 6 Yrs
Fairfield Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
782 236 $451.15 $111.47
99213 Established patient office or other outpatient visit, typically 15 minutes
220 117 $320.00 $77.30
80307 Testing for presence of drug, by chemistry analyzers
176 124 $190.00 $58.53
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
135 99 $350.00 $108.34
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
44 39 $470.00 $147.45
20610 Aspiration and/or injection of fluid from large joint
20 11 $322.00 $67.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
14 11 $200.00 $50.41

Medical Specialties & State Licenses

CMS Verified: 2022-03-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CT 5039

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Pain And Spine Specialists Of Connecticut Llc

67 Sand Pit Rd, Danbury, CT 068104032

Phone: 2037927277

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Beth Andersen , PA

Physician Assistant - Medical

NPI 1003839291

Physician Assistant

Dr. Sokpoleak So , MD

Pain Medicine - Interventional Pain Medicine

NPI 1467748111

Doctor of Medicine (M.D.)

Daniel Fombo , MSN APN

Nurse Practitioner - Family

NPI 1730348442

MSNAPN

James Mcmahon , PA-C

Physician Assistant - Medical

NPI 1740278472

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address March 07, 2022

Registered at 11350 MCCORMICK RD, EXECUTIVE PLAZA 1, STE. 501, HUNT VALLEY, MD 210317958 (Tel: 7039148000)

📍
Updated Practice Location November 19, 2020

Registered at 75 KINGS HIGHWAY CUTOFF STE 3A, FAIRFIELD, CT 068245340 (Tel: 2037437264)

👤
Provider Name / Credentials Updated November 19, 2020

Recorded as IMRAN MRIDHA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2020

Physician Assistant (License #5039 in CT)

NPI Profile Active July 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2020

Registered at 7932 SOUTHSIDE BLVD APT 2409, JACKSONVILLE, FL 322567958 (Tel: 8603711937)

📍
Updated Business Mailing Address July 24, 2020

Registered at 7932 SOUTHSIDE BLVD APT 2409, JACKSONVILLE, FL 322567958

👤
Provider Name / Credentials Updated July 24, 2020

Recorded as IMRAN MRIDHA, PA-S3

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 24, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558970558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2020
Last Update: March 07, 2022
Sole Proprietor: No

Mailing Address

11350 Mccormick Rd, Executive Plaza 1, Ste. 501

Hunt Valley, MD 210317958

Phone: 7039148000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.