Abdul R, Nizam II, M.D

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

113224 Issued in MO

Practice address

630 N Morley St
Ste 101
Moberly, MO 65270-2556

Phone

(660) 263-0404

Fax

(660) 263-1725

NPI assigned

May 24, 2005

Last updated

Feb 7, 2014By 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

Other identifiers 3

Other names 1

• Dr. A Rashed Nizam II Other name

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Ophthalmology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Moberly Regional Medical Center Hospital, Moberly, MO, CCN 260074

Merit-based Incentive Payment System (MIPS)

Final score

84.65 of 100Reported as individual

Quality

86

Improvement activities

40

Cost

58.27

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Sullivan, MO
  • NPI 1679598247
  NPD (past)
• Becvar Optometry, LLC

  dba Becvar Optometry

  • Eyewear Supplier
  • Columbia, MO
  • NPI 1548395080
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Moberly Hospital Company LLC

  dba Moberly Regional Medical Center

  • General Acute Care Hospital
  • Moberly, MO
  • NPI 1770554305
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1568465359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N MORLEY ST",
            "address_2": "STE 101",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702556",
            "telephone_number": "660-263-0404",
            "fax_number": "660-263-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N MORLEY ST",
            "address_2": "STE 101",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702556",
            "telephone_number": "660-263-0404",
            "fax_number": "660-263-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZAM",
        "first_name": "ABDUL",
        "middle_name": "R,",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "113224",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": "113224",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325927507",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA",
            "identifier": "238605",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209988542",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A",
            "last_name": "NIZAM",
            "middle_name": "RASHED",
            "prefix": "DR.",
            "suffix": "II",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• N&Co Homecare LLC (HomeCare of Mid Missouri Hospice)
• Wendell K Nall, PHYSICAL THERAPIST
• Vamsi Mohan Narisetty
• Joanne Patricia Narr
• Lynn Nicole Netzer, PT
• North Village Park SNF Opco LLC (North Village Park)
• North Village Park, LLC
• Thomas O'Loughlin
• Oak Hills Behavioral Health Solutions
• Sheila Jean Oliver, MSN, FNP-BC

• Ophthalmology Physician in Moberly, MO
• Providers in Moberly, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.
• 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.