Organization Active NPI

M. Nasir Rizwi MD PA

  • Internal Medicine Physician
  • Sebastian, FL
National Provider Identifier
1558408237
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME33935 Issued in FL
Legal business name
M. NASIR RIZWI MD PA
Practice address
13885 US Highway 1
Sebastian, FL 32958-3232
Phone
(772) 589-6844
Fax
(772) 589-3227
NPI assigned
Jan 31, 2007
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Mohammad Nasir Rizwi, M.D.NPI 1134120330
Title
President
Phone
(772) 589-6844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME33935 FL Primary

Addresses

Primary practice location

13885 US Highway 1
Sebastian, FL 32958-3232

Mailing address

13885 US Highway 1
Sebastian, FL 32958-3232
Phone (772) 589-6844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050701000781 FL Part B Supplier - Clinic/Group Practice 8729024567 Receives reassigned benefits from 1 practitioner
Practice locations: Sebastian, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2315483M Nasir Rizwi MD PA13885 US Hwy 1, Sebastian, FL 32958Certificate of waiverDec 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
M Nasir Rizwi MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13885 US Highway 1
Ste 6
Sebastian, FL 32958
Phone (772) 589-6844

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1558408237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13885 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583232",
            "telephone_number": "772-589-6844",
            "fax_number": "772-589-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13885 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583232",
            "telephone_number": "772-589-6844",
            "fax_number": "772-589-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. NASIR RIZWI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "RIZWI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "NASIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-589-6844",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME33935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.