Individual provider Active NPI

Tabrez Sheriff Ameerjan Nayaz, M.D.

  • Internal Medicine Physician
  • Willmar, MN
National Provider Identifier
1467700930
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18443 Issued in NV
Practice address
101 Willmar Ave SW
Willmar, MN 56201
Phone
(320) 231-5079
Fax
(320) 231-5067
NPI assigned
Aug 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 59018 MN
Internal Medicine Physician 207R00000X 4301101566 MI
Hospitalist Physician 208M00000X 59018 MN
Internal Medicine Physician 207R00000X 18443 NV Primary

Addresses

Primary practice location

101 Willmar Ave SW
Willmar, MN 56201

Mailing address

101 Willmar Ave SW
Willmar, MN 56201-3556
Phone (320) 231-5079

Other practice location 1

1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NV2 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
I20150724011298 MN Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Infectious Disease 9830402460 Reassigns benefits to 1 organization
I20190109001257 NV Practitioner - Internal Medicine 9830402460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Services of Nevada-Scherr PCGroup PAC ID 2466761440, 4 clinicians

Practice addresses (Care Compare)

2001 Errecart Blvd
Elko, NV 89801-8333
Phone (775) 738-5151

Hospital & facility affiliations

  • Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301101566MIMDInternal Medicine Physician
59018MNMDInternal Medicine Physician
18443NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Hospitalists LLP Internal Medicine CurrentSince Feb 4, 2020 Accepting new patients
Platinum Hospitalists LLP Internal Medicine CurrentSince Feb 4, 2020 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC Hospitalist CurrentSince Jun 12, 2023 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Jul 1, 2015 Accepting new patients
Hospitalist Services of Nevada-Scherr, PC Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Sanford Health of Northern Minnesota Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
PHC-Elko Inc Past Accepting new patients
PHC-Elko Inc Past Accepting new patients

Locations

1300 Anne St NW
Bemidji, MN 56601
Phone (218) 333-5794

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

Interoperability endpoints

  • Direct secure messaging: cco6187@yourcarecommunity.org

Organizations & group practices 9

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 4

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1467700930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILLMAR AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013556",
            "telephone_number": "320-231-5079",
            "fax_number": "320-231-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLMAR AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "56201",
            "telephone_number": "320-231-5079",
            "fax_number": "320-231-5067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Anne St NW",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566015103",
            "country_code": "US",
            "telephone_number": "218-333-5877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERIFF AMEERJAN NAYAZ",
        "first_name": "TABREZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "59018",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301101566",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "59018",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "18443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.