Nuzhat Un Nisa, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01067431A Issued in IN

Practice address

795 Sim Hodgin Parkway
Richmond Family Care Center
Richmond, IN 47374-1928

Phone

(765) 966-5949

Fax

(765) 962-6268

NPI assigned

Jul 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN, OH2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reid Health Hospital, Richmond, IN, CCN 150048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nnisa301890@ecommunitydirect.com
• Direct secure messaging: nnisa301890@reidhealth.direct-ci.com

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.

• Reid Physician Associates, Inc.

  dba Reid Health Physician Associates

  • Internal Medicine Physician
  • Richmond, IN
  • NPI 1265689111
  Medicare reassignment Care Compare group NPD
• Samaritan Family Care Inc

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1659503886
  Medicare reassignment NPD
• Reid Physician Associates, Inc

  dba Reid Health X-Ray Winchester

  • Radiology Clinic/Center
  • Winchester, IN
  • NPI 1417653221
  NPD
• Samaritan Family Care Inc

  dba Samaritan Hospitalist Group

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1558316638
  NPD

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

• Reid Hospital & Health Care Services, Inc

  dba Reid Health

  • General Acute Care Hospital
  • Richmond, IN
  • NPI 1063457380
  Care Compare affiliation

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1306036140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SVCS",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-966-5949",
            "fax_number": "765-962-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 SIM HODGIN PARKWAY",
            "address_2": "RICHMOND FAMILY CARE CENTER",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741928",
            "telephone_number": "765-966-5949",
            "fax_number": "765-962-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISA",
        "first_name": "NUZHAT",
        "middle_name": "UN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01067431A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01067431A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000673201",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200990030",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nnisa301890@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "795 Sim Hodgin Parkway",
            "address_2": "Richmond Family Care Center",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard A Nevels, M.D.
• Cassandra Newton
• Kaylin Newton, RBT
• Natalie Nicole Nicholson
• Laura Ashley Nigbur
• Mary Noelker, RBT
• Joshua Nolan, PSY.D., HSPP
• Crystal Norman
• Blake Youndom Numbiseh
• Vanda Joann Nunley, MATS

• Family Medicine Physician in Richmond, IN
• Providers in Richmond, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.