Nizam Razack, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME70470 Issued in FL

Practice address

32 W Gore St
Suite #511
Orlando, FL 32806-1134

Phone

(407) 423-7172

Fax

(407) 423-9505

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11845/brand/1/csg/1/fhir/r4
• Direct secure messaging: nizam.razack.1@11845.direct.athenahealth.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.

• Nizam Razack, PA

  • Neurological Surgery Physician
  • Orlando, FL
  • NPI 1548337934
  NPD Authorized official
• Greater Orlando Neursurgery and Spine

  • Neurological Surgery Physician
  • Orlando, FL
  • NPI 1992990170
  NPD (past)
• Orlando Cancer Center Inc

  dba MD Anderson Cancer Center Orlando

  • Medical Oncology Physician
  • Orlando, FL
  • NPI 1578510582
  NPD (past)
• University of Miami

  dba UMiami Medicine - Neurosurgery

  • Neurological Surgery Physician
  • Miami, FL
  • NPI 1063464550
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1447237045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 DOCS GROVE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198010",
            "telephone_number": "407-423-7172",
            "fax_number": "407-423-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W GORE ST",
            "address_2": "SUITE #511",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061134",
            "telephone_number": "407-423-7172",
            "fax_number": "407-423-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZACK",
        "first_name": "NIZAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME70470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254681700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayyan Neurological Association LLC
• Raza Shah M.D., P.a.
• Aroosa Raza
• Rafiq Raza, LCSW
• Nasreen Razack-Malik, MD
• Mohamed F Razak, M.D.
• Razia B Malik PA
• Karen Kay Razon, MOT, OTR
• Elie Razzouk, MD
• RBS Wig Studio Boutique & Spa LLC (RBS Wig Studio)

• Neurological Surgery Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.