Individual provider Active NPI

Nasiruddin Nazarally, M.D

  • Internal Medicine Physician
  • North Miami, FL
National Provider Identifier
1174560569
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0067939 Issued in FL
Practice address
888 NE 126TH St
101
North Miami, FL 33161-4964
Phone
(305) 899-1406
Fax
(305) 899-1352
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0067939 FL Primary

Addresses

Primary practice location

888 NE 126TH St
101
North Miami, FL 33161-4964

Mailing address

1846 SW 153Rd Ave
Miramar, FL 33027-4316
Phone (954) 447-0386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110331000902 FL Practitioner - Internal Medicine 0143403915 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Leung MD PA Internal Medicine CurrentSince Dec 4, 2010 Accepting new patients

Locations

888 NE 126th St
Ste 101
North Miami, FL 33161
Phone (305) 899-1406

Interoperability endpoints

  • Direct secure messaging: nasiruddin.nazarally.1@14931.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174560569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 SW 153RD AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274316",
            "telephone_number": "954-447-0386",
            "fax_number": "305-899-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 NE 126TH ST",
            "address_2": "101",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614964",
            "telephone_number": "305-899-1406",
            "fax_number": "305-899-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARALLY",
        "first_name": "NASIRUDDIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0067939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.