NPIMap

Individual provider Active NPI

Nabila Niaz, MD

  • Nephrology Physician
  • St Petersburg, FL
National Provider Identifier
1295711448
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME77303 Issued in FL
Practice address
1201 5TH Avenue North
Suite 302
St Petersburg, FL 33705-1457
Phone
(727) 821-2388
Fax
(727) 821-6887
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME77303 FL Primary

Addresses

Primary practice location

1201 5TH Avenue North
Suite 302
St Petersburg, FL 33705-1457

Mailing address

1201 5TH Avenue North
Suite 302
St Petersburg, FL 33705-1457
Phone (727) 821-2388

Other identifiers 1

IdentifierTypeStateIssuer
F00219894OtherRAILROAD RETIREMENT MEDIC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000029 FL Practitioner - NephrologyPractitioner - Internal Medicine 7113979717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 5TH Ave N
Suite 302
St Petersburg, FL 33705-1425
Phone (727) 821-2388

Hospital & facility affiliations

  • St Petersburg Kidney Care South Dialysis facility, Saint Petersburg, FL, CCN 682562
  • FMC - Pinellas Park Dialysis facility, Pinellas Park, FL, CCN 102519
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME77303FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nabila Niaz MD PA Nephrology CurrentSince Mar 1, 2005 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Dickinson County Healthcare System Nephrology Past Accepting new patients

Locations

1201 5th Ave N
Ste 302
St Petersburg, FL 33705
Phone (727) 821-2388

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECDBA
  • Direct secure messaging: nniaz189037@orlandohealth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/JECDBA/Endpoint/JECDBA

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1295711448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 5TH AVENUE NORTH",
            "address_2": "SUITE 302",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051457",
            "telephone_number": "727-821-2388",
            "fax_number": "727-821-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 5TH AVENUE NORTH",
            "address_2": "SUITE 302",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051457",
            "telephone_number": "727-821-2388",
            "fax_number": "727-821-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIAZ",
        "first_name": "NABILA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME77303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT MEDIC",
            "identifier": "F00219894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.