Individual provider Active NPI

Zahid Bin Masud Niazi, M.D.

  • Specialist
  • Elk Grove, CA
National Provider Identifier
1245345941
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C51628 Issued in CA
Practice address
9401 E Stockton Blvd
Suite 220
Elk Grove, CA 95624-5049
Phone
(916) 525-3966
Fax
(916) 525-3975
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C51628 CA Primary

Addresses

Primary practice location

9401 E Stockton Blvd
Suite 220
Elk Grove, CA 95624-5049

Mailing address

9401 E Stockton Blvd
Suite 220
Elk Grove, CA 95624-5049
Phone (916) 525-3966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040915000450 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 4880661313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9401 E Stockton Blvd
Suite 220
Elk Grove, CA 95624-5051
Phone (916) 525-3966

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C51628CAMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Zahid B.M. Niazi M.D., Inc. CurrentSince Sep 8, 2004 Accepting new patients
New York Group for Plastic Surgery, LLP Past Accepting new patients
James T Lin MD Inc Specialist PastSince Oct 1, 2004 Accepting new patients

Locations

9401 E Stockton Blvd
Ste 220
Elk Grove, CA 95624
Phone (916) 525-3966

9401 E Stockton Blvd
Ste 2
Elk Grove, CA 95624
Phone (916) 525-3966

8021 Laguna Blvd
Ste 3
Elk Grove, CA 95758
Phone (916) 525-1559

Organizations & group practices 3

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1245345941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 E STOCKTON BLVD",
            "address_2": "SUITE 220",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245049",
            "telephone_number": "916-525-3966",
            "fax_number": "916-525-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 E STOCKTON BLVD",
            "address_2": "SUITE 220",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245049",
            "telephone_number": "916-525-3966",
            "fax_number": "916-525-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIAZI",
        "first_name": "ZAHID",
        "middle_name": "BIN MASUD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C51628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.