Nizarali Visram, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME86971 Issued in FL

Practice address

12007 Wandsworth Dr
Tampa, FL 33626-2614

Phone

(631) 807-8589

NPI assigned

Jan 17, 2007

Last updated

Jul 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medi Clinics Primary Care LLC

  • Multi-Specialty Clinic/Center
  • Tampa, FL
  • NPI 1609120534

  Sports Medicine

  Medicare reassignment NPD
• Long Island Spine Specialists PC

  • Orthopaedic Surgery of the Spine Physician
  • Commack, NY
  • NPI 1245251198
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1548312051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12007 WANDSWORTH DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262614",
            "telephone_number": "631-807-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 WANDSWORTH DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262614",
            "telephone_number": "631-807-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISRAM",
        "first_name": "NIZARALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "2122201",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Nurse Community Care of the West Coast, Inc.
• Visiting Nurse Community Care of the West Coast, Inc. (TGH HomeCare Powered by VNA Florida)
• Visiting Seniors for Florida LLC
• Visiting Seniors Nurse Registry LLC
• Visitry Florida LLC (Visitry)
• Jennifer Vista
• Catrina Imani Visvalingam
• Narayan Viswanadhan, MD
• Neena Viswanathan
• Nathan I Visweshwar, M.D.

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.