Individual provider Active NPI

Reza Nabizadeh

  • Neurology Physician
  • Charlotte, NC
National Provider Identifier
1356507644
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2012-02219 Issued in NC
Practice address
2608 E 7TH St
Charlotte, NC 28204-4375
Phone
(704) 403-2660
NPI assigned
Aug 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2012-02219 NC Primary

Addresses

Primary practice location

2608 E 7TH St
Charlotte, NC 28204-4375

Mailing address

2608 E 7TH St
Charlotte, NC 28204-4375

Other practice location 1

1103 N Elm St Ste 300
Greensboro, NC 27401-6312
Phone (336) 271-3331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rnabizadeh77194@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 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

Enrollment IDStateProvider typePAC IDDetails
I20130905000611 NC Practitioner - Urology 6002059367 Reassigns benefits to 2 organizations
I20221212002192 VA Practitioner - Neurology 6002059367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012-02219NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Bismarck CurrentSince Jul 4, 2022 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Feb 1, 2014 Accepting new patients
MCV Associated Physicians Neurology CurrentSince Aug 16, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 4, 2022 Accepting new patients
Sanford Bismarck CurrentSince Jul 4, 2022 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jul 1, 2013 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 4, 2022 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 1, 2014 Accepting new patients
Moses Cone Physician Services, Inc. Neurology CurrentSince Jul 1, 2013 Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

301 E Wendover Ave
Ste 311
Greensboro, NC 27401
Phone (336) 272-6161

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1103 N Elm St
Ste 300
Greensboro, NC 27401
Phone (336) 271-3331

300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

Organizations & group practices 12

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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1356507644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044375",
            "telephone_number": "704-403-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 N Elm St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274016312",
            "country_code": "US",
            "telephone_number": "336-271-3331",
            "fax_number": "336-271-3724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NABIZADEH",
        "first_name": "REZA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2012-02219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnabizadeh77194@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1103 N Elm St Ste 300",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274016312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.